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NPI Code Detail

MEDICARE: DR. NICOLETTE LORNA CHRISTIANS BCBA-D

MEDICARE: DR. NICOLETTE LORNA CHRISTIANS BCBA-D
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
1101Y00000XCounselor
2103K00000XBehavior Analyst
3103K00000XBehavior Analyst1-13-14783FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841546199
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NICOLETTE LORNA CHRISTIANS BCBA-D
Provider Business Mailing Address
First Line : 7101 MYRTLEWOOD LN
Second Line :
City : SPRING HILL
State : FL
Zip : 34606-3483
Country : US
Telephone Number : 206-496-4236
Fax Number :
Provider Business Practice Location Address
First Line : 17815 HUNTING BOW CIR
Second Line :
City : LUTZ
State : FL
Zip : 33558-5401
Country : US
Telephone Number : 813-491-4425
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2012
Last Update Date : 02/21/2023

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