Healthcare Provider Details

I. General information

NPI: 1669912481
Provider Name (Legal Business Name): CRISTINA RESTREPO-HARNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2017
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7175 COLUMBIA GATEWAY DR STE A
COLUMBIA MD
21046-2536
US

IV. Provider business mailing address

5414 HOWE ST APT 1
PITTSBURGH PA
15232-2206
US

V. Phone/Fax

Practice location:
  • Phone: 888-344-5977
  • Fax:
Mailing address:
  • Phone: 540-533-8865
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number4136
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: