Provider Demographics
NPI:1962043851
Name:NORRIS, CHRISTOPHER N (BCBA, LAADC, ICAADC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:N
Last Name:NORRIS
Suffix:
Gender:M
Credentials:BCBA, LAADC, ICAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2952 SOMERSET DR
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90016-4214
Mailing Address - Country:US
Mailing Address - Phone:310-621-2442
Mailing Address - Fax:310-460-0274
Practice Address - Street 1:11340 W OLYMPIC BLVD STE 207
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90064-1612
Practice Address - Country:US
Practice Address - Phone:310-621-2442
Practice Address - Fax:310-460-0274
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-02
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALR100000621101YA0400X
1-14-9739103K00000X
CAPSB94025073390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst