Provider Demographics
NPI:1548148877
Name:DIXON, CHRISTIAN JOHN (RBT)
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:JOHN
Last Name:DIXON
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42100 DUCK LN
Mailing Address - Street 2:
Mailing Address - City:BAY MINETTE
Mailing Address - State:AL
Mailing Address - Zip Code:36507-7180
Mailing Address - Country:US
Mailing Address - Phone:251-222-7744
Mailing Address - Fax:
Practice Address - Street 1:11433 MAY TOWER RD
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:AL
Practice Address - Zip Code:36579-4040
Practice Address - Country:US
Practice Address - Phone:251-202-9842
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician