Provider Demographics
NPI:1740840685
Name:STEVENSON, CHRISTINA-MARIE (BCBA)
Entity type:Individual
Prefix:
First Name:CHRISTINA-MARIE
Middle Name:
Last Name:STEVENSON
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:CHRISTINA-MARIE
Other - Middle Name:IMES
Other - Last Name:LENT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7108 S KANNER HWY
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997-7462
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:17752 SKY PARK CIR STE 245
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-4478
Practice Address - Country:US
Practice Address - Phone:949-438-3344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-13
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst