Individual
JAYNE E CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
9101 PINEVILLE MATTHEWS RD STE S, PINEVILLE, NC 28134-8840
(980) 785-1113
(980) 785-1114
Mailing address
2810 COLISEUM CENTRE DR STE 520, CHARLOTTE, NC 28217-3345
(980) 785-1113
(980) 785-1114
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
MA
Enumeration date
11/12/2018
Last updated
10/28/2022
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