Provider Demographics
NPI:1063946895
Name:STARNES, CHRISTINA D
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:D
Last Name:STARNES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1950 N WALNUT RD
Mailing Address - Street 2:221
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89115-6409
Mailing Address - Country:US
Mailing Address - Phone:323-274-8073
Mailing Address - Fax:
Practice Address - Street 1:1950 N WALNUT RD
Practice Address - Street 2:221
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89115-6409
Practice Address - Country:US
Practice Address - Phone:323-274-8073
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-19
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst