Crystal Brook Wiggins
Behavior Analyst in San Antonio, TX. Individual provider (NPI-1).
NPI number1699239772
StatusActive
Last updated in NPPESJan 6, 2020
Details
- NPI
- 1699239772
- Entity type
- Individual (NPI-1)
- Name
- Crystal Brook Wiggins
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 23, 2019
- Certification date
- Jan 6, 2020
- Last updated
- Jan 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
9314 Ryder DrSan Antonio, TX 78254-2000
Phone 210-447-0039
Mailing address
9314 Ryder DrSan Antonio, TX 78254-2000
Phone 210-447-0039
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