MEDICARE: CHRISTINA KARNAVAS BCBA, MS, LBS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	1-20-43019	PA

General Provider Information

NPI Number	:	1093300576
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA KARNAVAS BCBA, MS, LBS

Provider Business Mailing Address
First Line	:	1700 STREET RD APT J3
Second Line	:
City	:	WARRINGTON
State	:	PA
Zip	:	18976-2535
Country	:	US
Telephone Number	:	484-250-0900
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 W OFFICE CENTER DR
Second Line	:	#100
City	:	FORT WASHINGTON
State	:	PA
Zip	:	19034-1903
Country	:	US
Telephone Number	:	215-540-2150
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2021
Last Update Date	:	03/05/2021

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