Provider Demographics
NPI:1437560984
Name:GARNER, CHRISTY (MA, BCBA)
Entity type:Individual
Prefix:MRS
First Name:CHRISTY
Middle Name:
Last Name:GARNER
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 MASON CEMETERY RD
Mailing Address - Street 2:
Mailing Address - City:HUMBOLDT
Mailing Address - State:TN
Mailing Address - Zip Code:38343-6900
Mailing Address - Country:US
Mailing Address - Phone:731-446-5441
Mailing Address - Fax:731-784-2664
Practice Address - Street 1:978 BLOOMING GROVE RD
Practice Address - Street 2:
Practice Address - City:PALMERSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38241-5105
Practice Address - Country:US
Practice Address - Phone:731-819-2646
Practice Address - Fax:731-822-3866
Is Sole Proprietor?:No
Enumeration Date:2014-05-17
Last Update Date:2014-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist