Crystal Christensen, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BA61146569 Issued in WA

Practice address

19204 N Creek Pkwy Ste 110
Bothell, WA 98011-8009

Phone

(818) 241-6780

Fax

(800) 819-7806

NPI assigned

Feb 4, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1184014698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 767938",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300767938",
            "telephone_number": "818-241-6780",
            "fax_number": "800-819-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19204 N CREEK PKWY STE 110",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980118009",
            "telephone_number": "818-241-6780",
            "fax_number": "800-819-7806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1112 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934546608",
            "country_code": "US",
            "telephone_number": "805-979-9941 x13",
            "fax_number": "805-222-3041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "CRYSTAL",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-04",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "0-14-6249",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "BA61146569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Cho, BA, MSC, LMHC
• Daniela Chong
• Pavinee Chotiwannaporn
• Kimberly J Chrapliwy
• Carol M. Christensen, LMHC
• Jean Christensen, RN
• Russell John Christensen, DDS
• Alicia Nicole Christian
• Christine Lentz DDS and Lisa Egbert DDS PS
• Julidang K Chue, DDS

• Behavior Analyst in Bothell, WA
• Providers in Bothell, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.