Provider Demographics
NPI:1215182126
Name:LITTLE, CHRISTINE MARIE (BT)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:MARIE
Last Name:LITTLE
Suffix:
Gender:F
Credentials:BT
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:MARIE
Other - Last Name:LAMB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA
Mailing Address - Street 1:13887 JEFFERY MINE RD
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON CITY
Mailing Address - State:IL
Mailing Address - Zip Code:62951-2925
Mailing Address - Country:US
Mailing Address - Phone:618-521-7177
Mailing Address - Fax:855-644-3067
Practice Address - Street 1:13887 JEFFERY MINE RD
Practice Address - Street 2:
Practice Address - City:JOHNSTON CITY
Practice Address - State:IL
Practice Address - Zip Code:62951-2925
Practice Address - Country:US
Practice Address - Phone:618-521-7177
Practice Address - Fax:855-644-3067
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-19
Last Update Date:2024-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst