Provider Demographics
NPI:1386500122
Name:RICE, CHRISTINA RENE (RBT)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:RENE
Last Name:RICE
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 1:103 WINTHROP CT
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36305-4280
Mailing Address - Country:US
Mailing Address - Phone:334-589-0479
Mailing Address - Fax:334-589-0479
Practice Address - Street 1:6125 UNIVERSITY DR NW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-1757
Practice Address - Country:US
Practice Address - Phone:256-692-9262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-24
Last Update Date:2025-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALRBT-25-502854106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty