IndividualActive
Christina Larsen, RBT
NPI 1366095713 · Behavior Technician · Port Orange, FL
Provider details
- NPI number
- 1366095713
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
- License
- RBT-18-61946 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4647 Clyde Morris Blvd
Port Orange, FL 32129-3000
Phone: (386) 767-3752
Street-level locationGet directions
Mailing address
3384 Dewberry Ct
Deltona, FL 32738-1283
Registry dates
- Enumerated
- 2019-07-24
- Last updated
- 2019-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.