Provider Demographics
NPI:1225798838
Name:RIEKEN, CHRISTINNA L (BCBA, LBA)
Entity Type:Individual
Prefix:
First Name:CHRISTINNA
Middle Name:L
Last Name:RIEKEN
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10310 26TH PL SE
Mailing Address - Street 2:
Mailing Address - City:LAKE STEVENS
Mailing Address - State:WA
Mailing Address - Zip Code:98258-5669
Mailing Address - Country:US
Mailing Address - Phone:360-722-2513
Mailing Address - Fax:
Practice Address - Street 1:10310 26TH PL SE
Practice Address - Street 2:
Practice Address - City:LAKE STEVENS
Practice Address - State:WA
Practice Address - Zip Code:98258-5669
Practice Address - Country:US
Practice Address - Phone:360-722-2513
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-22
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WABA61273597103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst