Provider Demographics
NPI:1053922278
Name:YOUNG, CHRISTINA (MA, BCBA, LBA)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:YOUNG
Suffix:
Gender:F
Credentials:MA, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24998 SORTERS RD
Mailing Address - Street 2:
Mailing Address - City:PORTER
Mailing Address - State:TX
Mailing Address - Zip Code:77365-4717
Mailing Address - Country:US
Mailing Address - Phone:832-257-9398
Mailing Address - Fax:
Practice Address - Street 1:2045 SPRING STUEBNER RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77389-4812
Practice Address - Country:US
Practice Address - Phone:817-562-0909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-11
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst