Individual provider · NPI-1

Crystal Wood

Behavior Analyst · Dublin, GA

NPI number1033636329
StatusActive
Last updated in NPPESJul 31, 2024

Details

NPI
1033636329
Entity type
Individual (NPI-1)
Name
Crystal Wood
Sex
Female
Sole proprietor
No
Enumeration date
Aug 28, 2017
Certification date
Jul 31, 2024
Last updated
Jul 31, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior AnalystRBT-16-26861GAYes

Practice location

1717 Rice Ave
Dublin, GA 31021-3524

Phone 800-832-9419 · Fax 855-859-1671

Mailing address

816 Tanglewood Cir
Dublin, GA 31021-1022

Phone 478-279-7214 · Fax 833-478-1298

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