Provider Demographics
NPI:1346577137
Name:ENZINNA, CHRISTIE PHILLIPS (MA, BCBA)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTIE
Middle Name:PHILLIPS
Last Name:ENZINNA
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:MS
Other - First Name:CHRISTIE
Other - Middle Name:LYNN
Other - Last Name:PHILLIPS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3620 N. JOSEY LANE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-3159
Mailing Address - Country:US
Mailing Address - Phone:713-364-4654
Mailing Address - Fax:469-575-3002
Practice Address - Street 1:9940 W SAM HOUSTON PKWY S
Practice Address - Street 2:SUITE 320
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77099-5305
Practice Address - Country:US
Practice Address - Phone:713-364-4654
Practice Address - Fax:469-575-3002
Is Sole Proprietor?:No
Enumeration Date:2009-11-16
Last Update Date:2015-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst