Provider Demographics
NPI:1972299816
Name:LYDON, CHRISTINA A (BCBA-D, LBA-NV)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:A
Last Name:LYDON
Suffix:
Gender:F
Credentials:BCBA-D, LBA-NV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1213 IAN CT
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89434-6707
Mailing Address - Country:US
Mailing Address - Phone:775-240-4016
Mailing Address - Fax:
Practice Address - Street 1:5345 RENO CORPORATE DR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-2381
Practice Address - Country:US
Practice Address - Phone:775-240-4016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-13
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVLBA0210103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst