Sheri Homishak, O.D., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-08-4379 Issued in AR

Practice address

410 N Arkansas Ave
Fayetteville, AR 72701-4107

Phone

(501) 762-9027

NPI assigned

Dec 29, 2008

Last updated

Apr 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  • NPI 1710832720
  NPD (past)
• Webb Eye Care Associates, PA

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  • NPI 1659566800
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1083850887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 TARTAGLIA AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727623071",
            "telephone_number": "501-762-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N ARKANSAS AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727014107",
            "telephone_number": "501-762-9027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1525 Merrill Dr",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722111821",
            "country_code": "US",
            "telephone_number": "501-762-9027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "267 Tartaglia Ave",
            "address_purpose": "LOCATION",
            "city": "Springdale",
            "state": "AR",
            "postal_code": "727623071",
            "country_code": "US",
            "telephone_number": "501-762-9027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOMISHAK",
        "first_name": "SHERI",
        "credential": "O.D., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-29",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OK",
            "license": "1-08-4379",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "2239",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AR",
            "license": "1-08-4379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Behavior Analyst in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.