Provider Demographics
NPI:1295483055
Name:WASHINGTON, CHRISTINE MONET
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:MONET
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 NATURES TRL
Mailing Address - Street 2:
Mailing Address - City:MILLERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17061-6501
Mailing Address - Country:US
Mailing Address - Phone:717-908-9746
Mailing Address - Fax:
Practice Address - Street 1:1000 AIRPORT RD STE 205
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-5960
Practice Address - Country:US
Practice Address - Phone:848-245-3182
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-11
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH005518103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst