Provider Demographics
NPI:1013258557
Name:BENEDETTI, CHRISTINE (MA BCBA LBA (NV))
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:BENEDETTI
Suffix:
Gender:F
Credentials:MA BCBA LBA (NV)
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:WALSH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA BCBA LBA (NV)
Mailing Address - Street 1:PO BOX 50843
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89435-0843
Mailing Address - Country:US
Mailing Address - Phone:775-354-1380
Mailing Address - Fax:775-354-1474
Practice Address - Street 1:5945 S LOS ALTOS PKWY STE 101
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89436-2503
Practice Address - Country:US
Practice Address - Phone:775-354-1380
Practice Address - Fax:775-354-1474
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-08
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVLBA0037OtherLICENSED BEHAVIOR ANALYST (STATE OF NEVADA)
NV1-119505OtherBOARD CERTIFIED BEHAVIOR ANALYST