Most Relevant Information
Provider Data
| NPI Number: | 1003449133 |
| Provider Name: | KRISTEN BINGAMAN RBT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-16-20474 |
Most Important Dates
| Enumeration Date: | 02/18/2020 |
| Last Updated: | 02/18/2020 |
Provider Practice Location
606 E BALTIMORE PIKE FL 2
MEDIA
PA
190631751
Practice Location Phone/Fax
| Phone: | 6108647376 |
| Fax: | 8775993340 |
Provider Mailing Location
5 REVERE DR STE 120
NORTHBROOK
IL
600628005
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |