Provider Demographics
NPI:1679984421
Name:DUCHARME, DEBORAH (MS; BCBA, LBA)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:DUCHARME
Suffix:
Gender:F
Credentials:MS; BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4005 GALANTIS DR APT 307E
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-0117
Mailing Address - Country:US
Mailing Address - Phone:717-309-2462
Mailing Address - Fax:
Practice Address - Street 1:6931 US 70 HWY E STE B
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:NC
Practice Address - Zip Code:28570-3743
Practice Address - Country:US
Practice Address - Phone:980-365-8360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-14
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH001728103K00000X
CA1-18-31065103K00000X
NC640103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst