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NPI Code Detail

MEDICARE: VICTORIA CHRISTENSEN BCBA

MEDICARE: VICTORIA CHRISTENSEN BCBA
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
1103K00000XBehavior Analyst1-1833695IL

General Provider Information

NPI Number : 1417523440
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA CHRISTENSEN BCBA
Provider Business Mailing Address
First Line : 13368 STRAWBERRY LN
Second Line :
City : ORLAND PARK
State : IL
Zip : 60462-1426
Country : US
Telephone Number : 708-305-3697
Fax Number :
Provider Business Practice Location Address
First Line : 11301 S HARLEM AVE
Second Line :
City : WORTH
State : IL
Zip : 60482-2001
Country : US
Telephone Number : 708-305-3697
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2021
Last Update Date : 06/01/2021

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Directions to “ VICTORIA CHRISTENSEN BCBA” Practice Location

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