Sharese T Hall, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0133004166 Issued in VA

Practice address

10304 Eaton PL Ste 100
Fairfax, VA 22030-2221

Phone

(855) 295-3276

Fax

(888) 588-2752

NPI assigned

Jun 8, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1790479038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 RIDGE RD",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142181629",
            "telephone_number": "850-543-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10304 EATON PL STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302221",
            "telephone_number": "855-295-3276",
            "fax_number": "888-588-2752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "790 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Lackawanna",
            "state": "NY",
            "postal_code": "142181629",
            "country_code": "US",
            "telephone_number": "850-543-9945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5828 Broadway St Apt 639",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "NY",
            "postal_code": "140869241",
            "country_code": "US",
            "telephone_number": "850-543-9945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "SHARESE",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133004166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chandra Tamiko Hall, NP
• Delisa D Hall, CRNA
• Judith T Hall, LCSW
• Kaela Hall
• Kenesha T Hall, MSW
• Erin Hallahan, LCSW
• F. Joseph Hallal, M.D.
• Kathleen Halligan, OTR/L
• Robert M Hallivis, DPM
• Elizabeth Halmon

• Behavior Analyst in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.