Provider Demographics
NPI:1407509318
Name:NALBANDYAN, CHRISTINA ASHOTOVNA (RBT)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:ASHOTOVNA
Last Name:NALBANDYAN
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4318 ELLIPSE DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32246-7448
Mailing Address - Country:US
Mailing Address - Phone:904-200-8375
Mailing Address - Fax:
Practice Address - Street 1:4318 ELLIPSE DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32246-7448
Practice Address - Country:US
Practice Address - Phone:904-200-8375
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-31
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health