Christina Porter, BCBA/COBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

COBA.00546 Issued in OH

Practice address

546 Streamwater Dr
Blacklick, OH 43004-8135

Phone

(614) 935-7945

NPI assigned

Jan 10, 2018

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

Other identifiers 2

Other names 1

• Christina Bridges Former name

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": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1649787706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E WILSON BRIDGE RD STE 200",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 STREAMWATER DR",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "430048135",
            "telephone_number": "614-935-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "CHRISTINA",
        "credential": "BCBA/COBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-10",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "COBA.00546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010684796",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1473276",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "BRIDGES",
            "credential": "BCBA,COBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melanie Pepper, CNP
• Lee Ann Pierson
• Samantha Pietronuto
• Marissa Polito
• Cadeisha Porter
• Kiera Porter
• Damon Powell Sr.
• Premier One Home Care LLC
• Premium Health Management
• Dominique Pressley

• Behavior Analyst in Blacklick, OH
• Providers in Blacklick, OH by specialty
• Behavior Analyst in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.