Healthcare Provider Details

I. General information

NPI: 1528980539
Provider Name (Legal Business Name): MR. CHRISTOPHER JAMES LAWTON
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 HOSPITAL DR
CRESTVIEW FL
32539-7380
US

IV. Provider business mailing address

6230 LAPIS LN
CRESTVIEW FL
32539-5425
US

V. Phone/Fax

Practice location:
  • Phone: 850-331-3608
  • Fax: 866-265-8817
Mailing address:
  • Phone: 850-331-3608
  • Fax: 866-265-8817

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-2833382
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: