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NPI Code Detail

MEDICARE: CHRISTIAN STANDAL

MEDICARE:   CHRISTIAN  STANDAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianNC

General Provider Information

NPI Number : 1083573265
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTIAN STANDAL
Provider Business Mailing Address
First Line : 5630 SAGE HILLS DR APT 920
Second Line :
City : CHARLOTTE
State : NC
Zip : 28277-0615
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5630 SAGE HILLS DR APT 920
Second Line :
City : CHARLOTTE
State : NC
Zip : 28277-0615
Country : US
Telephone Number : 619-339-8147
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2026
Last Update Date : 01/21/2026

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Directions to “ CHRISTIAN STANDAL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.