Christie, Jessica

Christie, Jessica is an individual health care provider with primary practice located at 2266 S Dobson Rd , Mesa AZ 85202-6488. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Christie, Jessica can be contacted via phone (480) 757-8090.

Contact Information

Primary practice address
2266 S Dobson Rd Mesa AZ 85202-6488
Phone: (480) 757-8090
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1164837050
LBN Legal business name Christie, Jessica
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2014
Last updated Nov 29th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164837050 NPPES
Other BACB-1-19-36336 BCBA
MEDICAID 110026265E BCBA

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