Provider Demographics
NPI:1902795560
Name:CORDOVA, CHRISTYN (RBT)
Entity type:Individual
Prefix:
First Name:CHRISTYN
Middle Name:
Last Name:CORDOVA
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 E MEDICAL CENTER BLVD APT 404
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4348
Mailing Address - Country:US
Mailing Address - Phone:504-287-5545
Mailing Address - Fax:
Practice Address - Street 1:2225 PHILLIPS RD
Practice Address - Street 2:#200
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573
Practice Address - Country:US
Practice Address - Phone:713-984-4552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRBT-24-397505103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst