MEDICARE: CHRISTINA RENE RICE RBT

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	106S00000X	Behavior Technician	RBT-25-502854	AL

General Provider Information

NPI Number	:	1386500122
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA RENE RICE RBT

Provider Business Mailing Address
First Line	:	103 WINTHROP CT
Second Line	:
City	:	DOTHAN
State	:	AL
Zip	:	36305-4280
Country	:	US
Telephone Number	:	334-589-0479
Fax Number	:	334-589-0479

Provider Business Practice Location Address
First Line	:	6125 UNIVERSITY DR NW
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35806-1757
Country	:	US
Telephone Number	:	256-692-9262
Fax Number	:

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

Provider Enumeration Date	:	12/24/2025
Last Update Date	:	12/24/2025

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