Individual
CHRISTINA MARY COUNTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3180 CROW CANYON PL, #208, SAN RAMON, CA 94583-1115
(925) 830-8308
(925) 830-8309
Mailing address
505 N BRAND BLVD, #1000, GLENDALE, CA 91203-1906
(818) 241-6780
(818) 241-6853
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-12666
CA
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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