MEDICARE: CHRISTEL BATSHIONDO

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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1023614633
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTEL BATSHIONDO

Provider Business Mailing Address
First Line	:	20 W RIVER DR APT 31
Second Line	:
City	:	MANCHESTER
State	:	NH
Zip	:	03104-1906
Country	:	US
Telephone Number	:	603-858-0725
Fax Number	:

Provider Business Practice Location Address
First Line	:	20 W RIVER DR APT 31
Second Line	:
City	:	MANCHESTER
State	:	NH
Zip	:	03104-1906
Country	:	US
Telephone Number	:	603-858-0725
Fax Number	:

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

Provider Enumeration Date	:	12/09/2020
Last Update Date	:	02/11/2021

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Directions to “ CHRISTEL BATSHIONDO ” Practice Location

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