Provider Demographics
NPI:1164746269
Name:WHEELER, CHRISTINE (BCBA)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:WHEELER
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 1:146 FOX HOLLOW WAY
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03104-6406
Mailing Address - Country:US
Mailing Address - Phone:603-206-5061
Mailing Address - Fax:
Practice Address - Street 1:146 FOX HOLLOW WAY
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104-6406
Practice Address - Country:US
Practice Address - Phone:603-206-5061
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-17
Last Update Date:2010-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst