Provider Information for 1174355192
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CHRISTIAN W HEINSLER BCBA, LMHC
Sex: Male
NPI: 1174355192
Last Updated: 2024-08-20
Certification Date: 2024-08-20
Certification Date: 2024-08-20
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1174355192 | ||||||||||||
| Enumeration Date | 2024-08-19 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 530 NW 42ND AVE COCONUT CREEK, FL 33066-1830 United States Phone: 954-298-1267 | Fax: | ||||||||||||
| Primary Practice Address | 530 NW 42ND AVE COCONUT CREEK, FL 33066-1830 United States Phone: 954-298-1267 | Fax: | ||||||||||||
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