Provider Demographics
NPI:1043052400
Name:GUIGNARD, CHRISTIANE L (ABA)
Entity type:Individual
Prefix:
First Name:CHRISTIANE
Middle Name:L
Last Name:GUIGNARD
Suffix:
Gender:F
Credentials:ABA
Other - Prefix:
Other - First Name:CHRISTIANE
Other - Middle Name:L
Other - Last Name:GUIGNARD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SPECIAL ED TEACHER
Mailing Address - Street 1:1651 CONEY ISLAND AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-5849
Mailing Address - Country:US
Mailing Address - Phone:718-998-1415
Mailing Address - Fax:718-339-0834
Practice Address - Street 1:1651 CONEY ISLAND AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-5849
Practice Address - Country:US
Practice Address - Phone:718-998-1415
Practice Address - Fax:718-339-0834
Is Sole Proprietor?:No
Enumeration Date:2024-06-07
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst