Crystal Amy Collette, M.S., BCBA, LBA
Behavior Analyst in Roanoke, VA. Individual provider (NPI-1).
NPI number1114201159
StatusActive
Last updated in NPPESApr 8, 2015
Details
- NPI
- 1114201159
- Entity type
- Individual (NPI-1)
- Name
- Crystal Amy Collette
- Credential
- M.S., BCBA, LBA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 10, 2011
- Last updated
- Apr 8, 2015
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 |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 0133000276 | VA | Yes |
| 103K00000X | Behavior Analyst | 1-11-8012 | – |
Other names
- Crystal Amy Cascarino (Former Name)
Practice location
1354 8th St SwRoanoke, VA 24015-1812
Phone 434-363-5306
Mailing address
1354 8th St SwRoanoke, VA 24015-1812
Phone 434-363-5306
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.
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