Provider Demographics
NPI:1780405266
Name:TODD, CHRISTOPHER JR
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:
Last Name:TODD
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1228 S PITTSBURG AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74112-5106
Mailing Address - Country:US
Mailing Address - Phone:918-934-7672
Mailing Address - Fax:
Practice Address - Street 1:1228 S PITTSBURG AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74112-5106
Practice Address - Country:US
Practice Address - Phone:918-943-7672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-18
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst