Provider Demographics
NPI:1265564124
Name:HONSBERGER, CHRISTINE (BCBA)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:HONSBERGER
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 E BAY CEDAR CIR
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-7105
Mailing Address - Country:US
Mailing Address - Phone:561-427-3711
Mailing Address - Fax:561-881-0972
Practice Address - Street 1:18370 LIMESTONE CREEK RD
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-3860
Practice Address - Country:US
Practice Address - Phone:561-320-9520
Practice Address - Fax:561-320-9495
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2016-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL222Q00000X
FL1-04-2046103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL811665200Medicaid
FL767558500Medicaid