Christine Gustavsen, M.S., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

1902 Fairfax Ave
Cherry Hill, NJ 08003-2007

Phone

(856) 827-7630

NPI assigned

Jan 9, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Progressive Applied Behavioral Treatment

  • Community/Behavioral Health Agency
  • Cherry Hill, NJ
  • NPI 1497109409
  NPD (past)
• Step by Step ABA Services Corp

  • Behavior Analyst
  • West Cape May, NJ
  • NPI 1649893439
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1063985349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 KNIGHTON LN",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542680",
            "telephone_number": "609-304-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 FAIRFAX AVE",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032007",
            "telephone_number": "856-827-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAVSEN",
        "first_name": "CHRISTINE",
        "credential": "M.S., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myla Gurat, PT
• John E. Gurrieri, MD
• Becca Gurst
• Laxmi Gurung, MS, OTR/L
• Lauren Gurwicz, OT
• Jarrad Gustin, OT
• Heather Violet Guthrie, OTR/L
• Alma Gutierrez, HIS
• Nina Joyce Gutierrez, APN
• Kellyl Guzman

• Behavior Analyst in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.