Provider Demographics
NPI:1831552181
Name:SZABO, CHRISTOPHER
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:SZABO
Suffix:
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 1:10926 DAVID TAYLOR DR STE 120-101
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-1293
Mailing Address - Country:US
Mailing Address - Phone:980-222-1868
Mailing Address - Fax:
Practice Address - Street 1:10926 DAVID TAYLOR DR STE 120-101
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-1293
Practice Address - Country:US
Practice Address - Phone:980-222-1868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-04
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA106S00000X
NC12147571103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1004745OtherNHP
MA0000023532OtherBMC
MA042611055OtherTAX ID
MA1004745OtherFALLON
MA1303287OtherMBHP
MAM18633OtherBCBS
MA99618201OtherNETWORK HEALTH