Provider Demographics
NPI:1629444658
Name:HEARD, CHRISTI (CNA, MASTER EDUCATOR)
Entity Type:Individual
Prefix:
First Name:CHRISTI
Middle Name:
Last Name:HEARD
Suffix:
Gender:F
Credentials:CNA, MASTER EDUCATOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5014 CREEKWOOD TER
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73135-1222
Mailing Address - Country:US
Mailing Address - Phone:405-537-8693
Mailing Address - Fax:
Practice Address - Street 1:5014 CREEKWOOD TER
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73135-1222
Practice Address - Country:US
Practice Address - Phone:405-537-8693
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-13
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst