Provider Demographics
NPI:1144090762
Name:BARRAGAN, CHRISLYN JAYE
Entity type:Individual
Prefix:MRS
First Name:CHRISLYN
Middle Name:JAYE
Last Name:BARRAGAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 HENRY ORR PKWY APT 406
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89436-4013
Mailing Address - Country:US
Mailing Address - Phone:775-220-2119
Mailing Address - Fax:
Practice Address - Street 1:1698 MEADOW WOOD LN
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-6707
Practice Address - Country:US
Practice Address - Phone:775-637-0030
Practice Address - Fax:775-637-0031
Is Sole Proprietor?:No
Enumeration Date:2024-01-04
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician