Christine Douglass, RBT – Behavior Technician

Key facts

NPI: 1376041210
Entity type: Individual (NPI type 1)
Primary specialty: Behavior Technician 106S00000X
License: RBT-16-25185 (PA)
Practice address: 39 Tannery Rd
Dillsburg, PA 17019-9673
Phone: (844) 588-4222
NPI assigned: Jan 25, 2018
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Behavior Therapy International LLC Behavior Analyst · Wormleysburg, PA · NPI 1457745374

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
RBT-16-25185	PA	MD	Behavior Technician

Practice roles

Organization	Specialty	Status	New patients
Behavior Therapy International LLC		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Behavior Technician	106S00000X	RBT-16-25185	PA	Yes

Addresses

Primary practice location

39 Tannery Rd
Dillsburg, PA 17019-9673

Mailing address

275 Cumberland Pkwy Ste 316
Mechanicsburg, PA 17055-5677
Phone (844) 588-4222

Other identifiers

Identifier	Type	State	Issuer
RBT-16-25185	Other	PA	APPLIED BEHAVIOR ANALYSIS - REGISTERED BEHAVIOR TECHNICIAN

Other providers in Dillsburg, PA

All providers in Dillsburg, PA · Behavior Technician in Pennsylvania

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2018. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.