Provider Demographics
NPI:1144630849
Name:HOREL, CHRISTINE ACCARDO (PHD, BCBA-D)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:ACCARDO
Last Name:HOREL
Suffix:
Gender:F
Credentials:PHD, BCBA-D
Other - Prefix:DR
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:ACCARDO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, BCBA-D
Mailing Address - Street 1:11500 CRONRIDGE DR STE 130
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-2261
Mailing Address - Country:US
Mailing Address - Phone:410-517-1113
Mailing Address - Fax:
Practice Address - Street 1:11500 CRONRIDGE DR STE 130
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-2261
Practice Address - Country:US
Practice Address - Phone:410-517-1113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-02
Last Update Date:2014-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
MD04854103TM1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities