Healthcare Provider Details
I. General information
NPI: 1245493436
Provider Name (Legal Business Name): CHRISTI REED BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/08/2008
Last Update Date: 03/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3700 QUEBEC ST UNIT 100-320
DENVER CO
80207-1638
US
IV. Provider business mailing address
3700 QUEBEC ST UNIT 100-320
DENVER CO
80207-1638
US
V. Phone/Fax
- Phone: 321-446-4158
- Fax:
- Phone: 321-446-4158
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TB0200X |
| Taxonomy | Cognitive & Behavioral Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: