Provider Demographics
NPI:1932745304
Name:FILIPPELLI, CHRISTINA M (MA LBS)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:M
Last Name:FILIPPELLI
Suffix:
Gender:F
Credentials:MA LBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:517 HANCOCK AVE
Mailing Address - Street 2:
Mailing Address - City:VANDERGRIFT
Mailing Address - State:PA
Mailing Address - Zip Code:15690-1336
Mailing Address - Country:US
Mailing Address - Phone:724-472-5894
Mailing Address - Fax:
Practice Address - Street 1:531 S MAIN ST
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-3016
Practice Address - Country:US
Practice Address - Phone:724-600-0120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-20
Last Update Date:2019-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH001752103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
PABH001752OtherLICENSED BEHAVIOR SPECIALIST CONSULTANT