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Crystal Jeneen Roby-Porter

Behavior Technician in Kent, WA. Individual provider (NPI-1).

NPI number1033775465
StatusActive
Last updated in NPPESMay 10, 2019

Details

NPI
1033775465
Entity type
Individual (NPI-1)
Name
Crystal Jeneen Roby-Porter
Sex
Female
Sole proprietor
No
Enumeration date
May 10, 2019
Last updated
May 10, 2019

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

6624 S 196th St Ste 107
Kent, WA 98032-3113

Phone 800-249-1266

Mailing address

1301 E Orangewood Ave
Anaheim, CA 92805-6807

Phone 800-249-1266

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Behavior Technician providers in Kent, WA

All 386 Behavior Technician providers in Kent · All 3,224 providers in Kent

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