Provider Demographics
NPI:1730702960
Name:BERNIER, CHRISTINA E (BCBA)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:E
Last Name:BERNIER
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2024 MARINA CT
Mailing Address - Street 2:
Mailing Address - City:BIGFORK
Mailing Address - State:MT
Mailing Address - Zip Code:59911-6248
Mailing Address - Country:US
Mailing Address - Phone:406-404-6444
Mailing Address - Fax:
Practice Address - Street 1:2024 MARINA CT
Practice Address - Street 2:
Practice Address - City:BIGFORK
Practice Address - State:MT
Practice Address - Zip Code:59911-6248
Practice Address - Country:US
Practice Address - Phone:406-404-6444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-21
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5800103K00000X
1-23-64742103K00000X
CA1-23-64742103K00000X
MTPSY-BA-LIC-4550103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst