MEDICARE: CHRISTOPHER B MARSHALL

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
1	103K00000X	Behavior Analyst	1-25-83516	GA

General Provider Information

NPI Number	:	1235868365
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER B MARSHALL

Provider Business Mailing Address
First Line	:	151 PECAN CRES
Second Line	:
City	:	NEWNAN
State	:	GA
Zip	:	30265-3153
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	90-F GLENDA TRACE
Second Line	:	#179
City	:	NEWNAN
State	:	GA
Zip	:	30265-3858
Country	:	US
Telephone Number	:	855-832-6727
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2022
Last Update Date	:	10/22/2025

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Directions to “ CHRISTOPHER B MARSHALL ” Practice Location

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