Provider Demographics
NPI:1912333568
Name:ANDERSON, CHRISTINA MARIE (MED, BCBA)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:MARIE
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:MED, BCBA
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:MARIE
Other - Last Name:BECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:219 E DAVIS STREET
Mailing Address - Street 2:SUITE 330
Mailing Address - City:CULPEPER
Mailing Address - State:VA
Mailing Address - Zip Code:22701-3001
Mailing Address - Country:US
Mailing Address - Phone:540-729-5604
Mailing Address - Fax:
Practice Address - Street 1:219 E DAVIS STREET
Practice Address - Street 2:SUITE 330
Practice Address - City:CULPEPER
Practice Address - State:VA
Practice Address - Zip Code:22701-3001
Practice Address - Country:US
Practice Address - Phone:540-212-9222
Practice Address - Fax:540-321-4420
Is Sole Proprietor?:No
Enumeration Date:2013-09-15
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0133000064103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst