Healthcare Provider Details

I. General information

NPI: 1639093859
Provider Name (Legal Business Name): CHRISTOPHER ALBAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9000 BURMA RD STE 109
PALM BEACH GARDENS FL
33403-1606
US

IV. Provider business mailing address

1182 IMPERIAL LAKE RD
WEST PALM BEACH FL
33413-1078
US

V. Phone/Fax

Practice location:
  • Phone: 561-508-6122
  • Fax:
Mailing address:
  • Phone: 954-756-1862
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: