Provider Demographics
NPI:1821375254
Name:FLEVARIS, CHRISTINA LYNNE (MSED, BCBA)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:LYNNE
Last Name:FLEVARIS
Suffix:
Gender:F
Credentials:MSED, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:809 29TH AVE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-5003
Mailing Address - Country:US
Mailing Address - Phone:781-454-5437
Mailing Address - Fax:
Practice Address - Street 1:809 29TH AVE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-5003
Practice Address - Country:US
Practice Address - Phone:781-454-5437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-14
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-11-9381103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst