Provider Demographics
NPI:1790924066
Name:BAROSKY, CHRISTINA MARIE (BCBA)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:MARIE
Last Name:BAROSKY
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 1:1 MIFFLIN PL
Mailing Address - Street 2:SUITE 400
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-4907
Mailing Address - Country:US
Mailing Address - Phone:617-302-7170
Mailing Address - Fax:
Practice Address - Street 1:1 MIFFLIN PL
Practice Address - Street 2:SUITE 400
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-4907
Practice Address - Country:US
Practice Address - Phone:617-302-7170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-10
Last Update Date:2013-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1-08-4256103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst