Provider Demographics
NPI:1467810754
Name:SALES, CHRISTINA DIANE (MS, BCBA, DIDD)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:DIANE
Last Name:SALES
Suffix:
Gender:F
Credentials:MS, BCBA, DIDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5909 SHELBY OAKS DR
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38134-7317
Mailing Address - Country:US
Mailing Address - Phone:901-383-9193
Mailing Address - Fax:
Practice Address - Street 1:5909 SHELBY OAKS DR
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38134-7317
Practice Address - Country:US
Practice Address - Phone:901-383-9193
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-02
Last Update Date:2016-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS11417895103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst