Provider Demographics
NPI:1043016249
Name:CHRISTEN, ELIZABETH MARIE (RBT)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:MARIE
Last Name:CHRISTEN
Suffix:
Gender:
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 53
Mailing Address - Street 2:
Mailing Address - City:IRELAND
Mailing Address - State:IN
Mailing Address - Zip Code:47545-0053
Mailing Address - Country:US
Mailing Address - Phone:812-259-7747
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 53
Practice Address - Street 2:
Practice Address - City:IRELAND
Practice Address - State:IN
Practice Address - Zip Code:47545-0053
Practice Address - Country:US
Practice Address - Phone:812-259-7747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician