Provider Demographics
NPI:1497321368
Name:KRAEMER, CRISTHIAN
Entity Type:Individual
Prefix:
First Name:CRISTHIAN
Middle Name:
Last Name:KRAEMER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10440 DEERWOOD RD APT 1438
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-1141
Mailing Address - Country:US
Mailing Address - Phone:832-998-4018
Mailing Address - Fax:
Practice Address - Street 1:8181 COMMERCE PARK DR STE 726
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-7449
Practice Address - Country:US
Practice Address - Phone:364-217-8328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-01
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRBT-21-159238106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician