Healthcare Provider Details

I. General information

NPI: 1679401095
Provider Name (Legal Business Name): CHRISTINA LEIGH EREXSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3618 RIVER WATCH LN
FRANKLINTON NC
27525-7051
US

IV. Provider business mailing address

2571 MANGUM AVE
CREEDMOOR NC
27522-8785
US

V. Phone/Fax

Practice location:
  • Phone: 919-213-0320
  • Fax: 919-679-9712
Mailing address:
  • Phone: 984-278-8340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: