Healthcare Provider Details

I. General information

NPI: 1417860693
Provider Name (Legal Business Name): MS. CHRISTINA RENEE CHRISTIAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. ANGEL R SOKOLINSKA

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5550 PEACHTREE PKWY STE 500
PEACHTREE CORNERS GA
30092-2555
US

IV. Provider business mailing address

136 DEAN ST
NORWOOD MA
02062-4544
US

V. Phone/Fax

Practice location:
  • Phone: 188-889-9133
  • Fax:
Mailing address:
  • Phone: 774-417-7018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-24-348968
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: