NPI 1114201159

Crystal Amy Collette, MSBCBALBA

Practitioner Behavior Analyst Roanoke, VA

Practice location

Address: 1354 8th St SW, Roanoke, VA 24015-1812
Phone: (434) 363-5306

Registered specialties (2)

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 0133000276 (VA)

Other Behavior Analyst providers in Virginia →

Behavior Analyst

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1-11-8012

Registry record

NPI: 1114201159
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Oct 2011
Record last updated: 8 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.