Provider Demographics
NPI:1629618038
Name:VEREMIS, CHRISTIAN EASTON (BCABA)
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:EASTON
Last Name:VEREMIS
Suffix:
Gender:F
Credentials:BCABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 SEAPORT LN UNIT 1300
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-3195
Mailing Address - Country:US
Mailing Address - Phone:614-314-4933
Mailing Address - Fax:
Practice Address - Street 1:1099 PLAYGROUND RD
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-6465
Practice Address - Country:US
Practice Address - Phone:843-593-2111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-14
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst