Christy Marie Beaudrie
Behavior Analyst in Portage, MI. Individual provider (NPI-1).
NPI number1407119555
StatusActive
Last updated in NPPESJun 22, 2012
Details
- NPI
- 1407119555
- Entity type
- Individual (NPI-1)
- Name
- Christy Marie Beaudrie
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2012
- Last updated
- Jun 22, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Other names
- Christy Marie Chambers (Former Name)
Practice location
9616 Portage RdPortage, MI 49002-7257
Phone 269-492-2494
Mailing address
9616 Portage RdPortage, MI 49002-7257
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 58 Behavior Analyst providers in Portage · All 1,955 providers in Portage
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