Active NPIIndividual provider

Christine E Dougherty, BCBA

Behavior Analyst in Lakewood, New Jersey

NPI Number1942711627
Practice location
5 Raven Ln, Lakewood, NJ 08701-4968
Fax
—
Last updated
October 20, 2017

Christine E Dougherty is a Behavior Analyst based in Lakewood, NJ. Christine E Dougherty practices in Lakewood, NJ and has the professional credentials of BCBA. The NPI Number for Christine E Dougherty is 1942711627 and holds a License No. 1-16-24077. The current practice location address for Christine E Dougherty is 5 Raven Ln, Lakewood, NJ 08701-4968 and can be reached out via phone at 732-730-0700.

Provider Profile Details

NPI Number
1942711627
Provider Name
Christine E Dougherty
Credential
BCBA
Provider Entity Type
Individual
Gender
Female
Address
5 Raven Ln, Lakewood, NJ 08701-4968
Phone Number
732-730-0700
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Provider Enumeration Date
October 20, 2017
Last Update Date
October 20, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
5 Raven Ln
Lakewood, NJ 08701-4968
Zip
08701-4968
Phone Number
732-730-0700
Lakewood, NJ 08701Get directions →

Provider Business Mailing Address Details

Address
353 Riverdale Dr
Keyport, NJ 07735-5022
City
Keyport
State
NJ
Zip
07735-5022

License Information

License Number
1-16-24077
Taxonomy
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Christine E Dougherty, BCBA?

The NPI number of Christine E Dougherty, BCBA is 1942711627. It was assigned on October 20, 2017 and is currently active in the NPPES registry.

What is the specialty of Christine E Dougherty, BCBA?

Christine E Dougherty, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed under license number 1-16-24077.

Where does Christine E Dougherty, BCBA practice?

The practice location is 5 Raven Ln, Lakewood, NJ 08701-4968. The office can be reached at 732-730-0700 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1942711627 directly on the NPPES registry website.

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