Individual
CHRISTINA BALLYNCY PROCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
9218 WOLCOTT PARK LN, HOUSTON, TX 77075-3824
(713) 298-4785
Mailing address
5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
(832) 464-6859
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MSS1RKLREBU8
SAM ID
TX
Enumeration date
01/10/2022
Last updated
01/10/2022
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