Provider Demographics
NPI:1649402074
Name:CHRISTENSEN-SANDFORT, ROBYN JEANNE (EDD, BCBA-D)
Entity type:Individual
Prefix:MS
First Name:ROBYN
Middle Name:JEANNE
Last Name:CHRISTENSEN-SANDFORT
Suffix:
Gender:F
Credentials:EDD, BCBA-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:336 E INTENDENCIA ST
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32502-6138
Mailing Address - Country:US
Mailing Address - Phone:850-525-9063
Mailing Address - Fax:
Practice Address - Street 1:336 E INTENDENCIA ST
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32502-6138
Practice Address - Country:US
Practice Address - Phone:850-525-9063
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-19
Last Update Date:2024-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst