Individual provider · NPI-1

Crystal Alderman, BCBA

Behavior Analyst · Lakeland, FL

NPI number1699296152
StatusActive
Last updated in NPPESOct 28, 2025

Details

NPI
1699296152
Entity type
Individual (NPI-1)
Name
Ms. Crystal Alderman
Credential
BCBA
Sex
Female
Sole proprietor
No
Enumeration date
Jul 5, 2017
Certification date
Oct 28, 2025
Last updated
Oct 28, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes

Practice location

3308 Cleveland Heights Blvd
Lakeland, FL 33803-4717

Phone 813-449-0222

Mailing address

Po Box 3132
Plant City, FL 33563-0003

Phone 813-449-0222

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