Provider Demographics
NPI:1104586692
Name:YINGLING, CHRISTINA R (LBS)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:R
Last Name:YINGLING
Suffix:
Gender:F
Credentials:LBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 N QUEEN ST
Mailing Address - Street 2:
Mailing Address - City:LITTLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17340-1218
Mailing Address - Country:US
Mailing Address - Phone:223-205-9207
Mailing Address - Fax:
Practice Address - Street 1:1 CENTER SQ
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-3013
Practice Address - Country:US
Practice Address - Phone:223-205-9207
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-23
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH003803103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst