Provider Demographics
NPI:1962228072
Name:LUDOLPH, CHRISTY J (BCBA)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:J
Last Name:LUDOLPH
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:346 PATRICIA CT FL 2
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-8016
Mailing Address - Country:US
Mailing Address - Phone:609-899-3380
Mailing Address - Fax:
Practice Address - Street 1:346 PATRICIA CT
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-8016
Practice Address - Country:US
Practice Address - Phone:609-899-3380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst