Provider Demographics
NPI:1568967198
Name:BARR, CHRISTIAN BRYCE (BA)
Entity Type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:BRYCE
Last Name:BARR
Suffix:
Gender:M
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2080 FURMAN PT
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-9404
Mailing Address - Country:US
Mailing Address - Phone:719-645-9905
Mailing Address - Fax:
Practice Address - Street 1:6189 LEHMAN DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-5407
Practice Address - Country:US
Practice Address - Phone:719-433-0557
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-26
Last Update Date:2018-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician