Provider Demographics
NPI:1558870055
Name:REITER, CHRISTOPHER JAMES (BCBA, LBS)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:JAMES
Last Name:REITER
Suffix:
Gender:M
Credentials:BCBA, LBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 BELLEFONTE AVE
Mailing Address - Street 2:
Mailing Address - City:EDGEMOOR
Mailing Address - State:DE
Mailing Address - Zip Code:19809-2502
Mailing Address - Country:US
Mailing Address - Phone:302-762-2636
Mailing Address - Fax:
Practice Address - Street 1:210 BELLEFONTE AVE
Practice Address - Street 2:
Practice Address - City:EDGEMOOR
Practice Address - State:DE
Practice Address - Zip Code:19809-2502
Practice Address - Country:US
Practice Address - Phone:302-762-2636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-27
Last Update Date:2017-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH003586103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst