Healthcare Provider Details

I. General information

NPI: 1720744071
Provider Name (Legal Business Name): CHRISTEN MADDALONI SEXTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/11/2021
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 MEADOW RUN DR
WARNER ROBINS GA
31088-6221
US

IV. Provider business mailing address

207 MEADOW RUN DR
WARNER ROBINS GA
31088-6221
US

V. Phone/Fax

Practice location:
  • Phone: 334-991-0644
  • Fax:
Mailing address:
  • Phone: 334-991-0644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-24-72902
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-21-172042
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: