Individual
CHRISTIN NIKOL ANTONIONO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
330 NIMITZ AVE, STATE COLLEGE, PA 16801-6338
(814) 880-0786
Mailing address
330 NIMITZ AVE, STATE COLLEGE, PA 16801-6338
(814) 880-0786
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB394380
PA
Other
Enumeration date
10/17/2019
Last updated
06/20/2023
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