Provider Demographics
NPI:1497299531
Name:SAVAGE, KRISTA (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:KRISTA
Middle Name:
Last Name:SAVAGE
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 1:88 CRESCENT ST
Mailing Address - Street 2:
Mailing Address - City:SKOWHEGAN
Mailing Address - State:ME
Mailing Address - Zip Code:04976-4954
Mailing Address - Country:US
Mailing Address - Phone:207-399-3702
Mailing Address - Fax:
Practice Address - Street 1:88 CRESCENT ST
Practice Address - Street 2:
Practice Address - City:SKOWHEGAN
Practice Address - State:ME
Practice Address - Zip Code:04976-4954
Practice Address - Country:US
Practice Address - Phone:207-399-3702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-08
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst