Provider Demographics
NPI:1699952424
Name:MCCONNAUGHY, CHRISSY LEE (MS, BCBA)
Entity type:Individual
Prefix:MRS
First Name:CHRISSY
Middle Name:LEE
Last Name:MCCONNAUGHY
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1809 SHEFFIELD RD SW
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24015-3021
Mailing Address - Country:US
Mailing Address - Phone:540-797-4311
Mailing Address - Fax:
Practice Address - Street 1:1809 SHEFFIELD RD SW
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24015-3021
Practice Address - Country:US
Practice Address - Phone:540-797-4311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-23
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist