Crystal Fonkwe
Behavior Technician in Raleigh, NC. Individual provider (NPI-1).
NPI number1164061933
StatusActive
Last updated in NPPESDec 27, 2019
Details
- NPI
- 1164061933
- Entity type
- Individual (NPI-1)
- Name
- Crystal Fonkwe
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 27, 2019
- Certification date
- Dec 27, 2019
- Last updated
- Dec 27, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | NC | Yes |
Practice location
421 Fayetteville St Ste 1100Raleigh, NC 27601-3000
Phone 877-418-2978
Mailing address
421 Fayetteville St Ste 1100Raleigh, NC 27601-3000
Phone 877-418-2978
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