Provider Demographics
NPI:1962659805
Name:BEHIC, CHRISTOPHER KEOKE (MA)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:KEOKE
Last Name:BEHIC
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94-031 KUAHELANI AVE APT 108
Mailing Address - Street 2:
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-1741
Mailing Address - Country:US
Mailing Address - Phone:808-781-2493
Mailing Address - Fax:808-744-0596
Practice Address - Street 1:94-031 KUAHELANI AVE APT 108
Practice Address - Street 2:
Practice Address - City:MILILANI
Practice Address - State:HI
Practice Address - Zip Code:96789-1741
Practice Address - Country:US
Practice Address - Phone:808-781-2493
Practice Address - Fax:808-744-0596
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-21
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health