Provider Demographics
NPI:1801499546
Name:BARRETT, JUDITH KRISTYN (MA, BCBA, LBA)
Entity type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:KRISTYN
Last Name:BARRETT
Suffix:
Gender:F
Credentials:MA, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4365 STARKEY RD
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-0610
Mailing Address - Country:US
Mailing Address - Phone:540-527-5068
Mailing Address - Fax:540-527-5093
Practice Address - Street 1:4365 STARKEY RD
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-0610
Practice Address - Country:US
Practice Address - Phone:540-527-5068
Practice Address - Fax:540-527-5093
Is Sole Proprietor?:No
Enumeration Date:2020-11-17
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01-20-45547103K00000X
103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst