Provider Demographics
NPI:1861912115
Name:CHRISTINA CARES ABOUT AUTISM
Entity type:Organization
Organization Name:CHRISTINA CARES ABOUT AUTISM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:424-257-2887
Mailing Address - Street 1:12756 MOORPARK ST APT 204
Mailing Address - Street 2:
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91604-1332
Mailing Address - Country:US
Mailing Address - Phone:424-257-2887
Mailing Address - Fax:
Practice Address - Street 1:12756 MOORPARK ST APT 204
Practice Address - Street 2:
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91604-1332
Practice Address - Country:US
Practice Address - Phone:424-257-2887
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0000OtherNO OTHER ID #'S