Provider Demographics
NPI:1730630260
Name:SION, CHRISTELA
Entity type:Individual
Prefix:
First Name:CHRISTELA
Middle Name:
Last Name:SION
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 1:2452 BRAGG ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-1206
Mailing Address - Country:US
Mailing Address - Phone:347-653-3011
Mailing Address - Fax:
Practice Address - Street 1:2452 BRAGG ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-1206
Practice Address - Country:US
Practice Address - Phone:347-653-3011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-19
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician