Provider Demographics
NPI:1962273078
Name:MANKEY, CHRISTIANA DEANE (RBT)
Entity type:Individual
Prefix:
First Name:CHRISTIANA
Middle Name:DEANE
Last Name:MANKEY
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8305 CEDARVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BRANDYWINE
Mailing Address - State:MD
Mailing Address - Zip Code:20613-7903
Mailing Address - Country:US
Mailing Address - Phone:240-419-7290
Mailing Address - Fax:
Practice Address - Street 1:2412 COMPTROLLERS CT
Practice Address - Street 2:
Practice Address - City:PRINCE FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:20678-4340
Practice Address - Country:US
Practice Address - Phone:443-295-3025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDBACB1038334106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician