Provider Demographics
NPI:1821716267
Name:RANTISSI, KARINA JANINE
Entity Type:Individual
Prefix:
First Name:KARINA
Middle Name:JANINE
Last Name:RANTISSI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KARINA
Other - Middle Name:JANINE
Other - Last Name:RANTISSI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:5558 CALIFORNIA AVE
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-0705
Mailing Address - Country:US
Mailing Address - Phone:661-326-1577
Mailing Address - Fax:661-326-1577
Practice Address - Street 1:5558 CALIFORNIA AVE STE 340
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-0710
Practice Address - Country:US
Practice Address - Phone:661-326-1577
Practice Address - Fax:661-326-1577
Is Sole Proprietor?:No
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst