Provider Demographics
NPI:1003779919
Name:MAYBREY, CHRISTIAN CHANDLER
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:CHANDLER
Last Name:MAYBREY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5633 GROVE COVE DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-8344
Mailing Address - Country:US
Mailing Address - Phone:469-200-0144
Mailing Address - Fax:
Practice Address - Street 1:5633 GROVE COVE DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-8344
Practice Address - Country:US
Practice Address - Phone:469-200-0144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-12-08
Last Update Date:2025-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst