Individual
CHRISTA MASSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
795 FOLSOM ST # 110, SAN FRANCISCO, CA 94107-1243
(707) 373-7003
Mailing address
1112 RIMROCK DR, NAPA, CA 94558-9672
(707) 373-7703
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
247200000X
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
462843213
—
CA
Enumeration date
02/04/2022
Last updated
02/04/2022
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