Krystal Cornish
Behavior Technician in Carthage, NC. Individual provider (NPI-1).
NPI number1104723675
StatusActive
Last updated in NPPESOct 20, 2026
Details
- NPI
- 1104723675
- Entity type
- Individual (NPI-1)
- Name
- Krystal Cornish
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 20, 2026
- Certification date
- Oct 20, 2026
- Last updated
- Oct 20, 2026
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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1212 Tuliptree LnCarthage, NC 28327-6309
Phone 984-292-5373
Mailing address
1212 Tuliptree LnCarthage, NC 28327-6309
Phone 984-292-5373
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