Provider Demographics
NPI:1669270427
Name:MENESES, CHRISTIAN (RBT)
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:
Last Name:MENESES
Suffix:
Gender:
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8610 HIDDEN RIVER PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33637-1114
Mailing Address - Country:US
Mailing Address - Phone:813-481-9662
Mailing Address - Fax:
Practice Address - Street 1:8610 HIDDEN RIVER PKWY STE 200
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33637-1114
Practice Address - Country:US
Practice Address - Phone:813-481-9662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-417213106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician