Provider Demographics
NPI:1063076107
Name:CALANDRO, CHRISANA REBECCA (MS, BCBA, LBA)
Entity type:Individual
Prefix:
First Name:CHRISANA
Middle Name:REBECCA
Last Name:CALANDRO
Suffix:
Gender:F
Credentials:MS, BCBA, LBA
Other - Prefix:
Other - First Name:CHRISANNA
Other - Middle Name:REBECCA
Other - Last Name:CALANDRO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, BCBA, LBA
Mailing Address - Street 1:1600 MILLER CT
Mailing Address - Street 2:
Mailing Address - City:PANTEGO
Mailing Address - State:TX
Mailing Address - Zip Code:76013-3255
Mailing Address - Country:US
Mailing Address - Phone:817-937-4619
Mailing Address - Fax:
Practice Address - Street 1:2612 LONG PRAIRIE RD STE B
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75022-4981
Practice Address - Country:US
Practice Address - Phone:972-895-2365
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-24
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst