Crystal Dawn Amber Pullman
Behavior Analyst in Corona, CA. Individual provider (NPI-1).
NPI number1508323692
StatusActive
Last updated in NPPESOct 7, 2024
Details
- NPI
- 1508323692
- Entity type
- Individual (NPI-1)
- Name
- Crystal Dawn Amber Pullman
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 25, 2019
- Certification date
- Oct 7, 2024
- Last updated
- Oct 7, 2024
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 | 1-19-36237 | CA | Yes |
Practice location
255 E Rincon St Ste 219Corona, CA 92879-1387
Phone 949-337-9499
Mailing address
255 E Rincon St Ste 219Corona, CA 92879-1387
Phone 949-337-9499
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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