Provider Demographics
NPI:1528677044
Name:RAGASA, CHRISTIANNE DENISE
Entity type:Individual
Prefix:
First Name:CHRISTIANNE DENISE
Middle Name:
Last Name:RAGASA
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 1:241 GARRISONVILLE RD STE 202
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-1555
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:241 GARRISONVILLE RD STE 202
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-1555
Practice Address - Country:US
Practice Address - Phone:703-986-3232
Practice Address - Fax:571-778-5329
Is Sole Proprietor?:No
Enumeration Date:2020-07-30
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-22-61002103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst