Provider Demographics
NPI:1922423482
Name:TURNER, KRISTINA (BCBA, LBA)
Entity Type:Individual
Prefix:
First Name:KRISTINA
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:KRISTINA
Other - Middle Name:MAE
Other - Last Name:SURFACE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA, LBA
Mailing Address - Street 1:5500 CHAMBERLAYNE RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23227-2409
Mailing Address - Country:US
Mailing Address - Phone:804-241-5406
Mailing Address - Fax:804-716-7186
Practice Address - Street 1:5500 CHAMBERLAYNE RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23227-2409
Practice Address - Country:US
Practice Address - Phone:804-241-5406
Practice Address - Fax:804-716-7186
Is Sole Proprietor?:No
Enumeration Date:2014-02-20
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0133000350103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst