Individual
CHRISTINA REICHENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
4145 N PULASKI RD # 2, CHICAGO, IL 60641-2408
(773) 560-9990
Mailing address
4145 N PULASKI RD # 2, CHICAGO, IL 60641-2408
(773) 560-9990
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-18547
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-15-18547
BCBA CERTIFICATE
IL
Enumeration date
02/22/2017
Last updated
02/27/2024
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