Provider Demographics
NPI:1922243351
Name:CHRISTINA HANSEL, INC
Entity Type:Organization
Organization Name:CHRISTINA HANSEL, INC
Other - Org Name:SPRINGS BEHAVIORAL CONSULTANTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HANSEL
Authorized Official - Suffix:
Authorized Official - Credentials:MS, BCBA
Authorized Official - Phone:719-271-9975
Mailing Address - Street 1:PO BOX 13695
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80902-0695
Mailing Address - Country:US
Mailing Address - Phone:719-271-9975
Mailing Address - Fax:719-375-3516
Practice Address - Street 1:3931 NICKI HTS
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-6313
Practice Address - Country:US
Practice Address - Phone:719-271-9975
Practice Address - Fax:719-375-3516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-15
Last Update Date:2008-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1073810103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1003092255OtherINDIVIDUAL NPI
CO42423368Medicaid