Individual
CHRISTIAN P YENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
1015 NW 56TH TER, GAINESVILLE, FL 32605-4481
(352) 835-5520
Mailing address
175 MIDDLE ST UNIT 1201, LAKE MARY, FL 32746-3625
(866) 610-0580
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-38655
FL
Other
Enumeration date
05/14/2019
Last updated
12/02/2021
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