Krystal Denise Grooms
Behavior Technician in Washington, DC. Individual provider (NPI-1).
NPI number1801558317
StatusActive
Last updated in NPPESOct 12, 2021
Details
- NPI
- 1801558317
- Entity type
- Individual (NPI-1)
- Name
- Krystal Denise Grooms
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 12, 2021
- Certification date
- Oct 12, 2021
- Last updated
- Oct 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1050 Connecticut Ave Nw Ste 500Washington, DC 20036-5304
Phone 833-599-2560
Mailing address
850 Towbin AveLakewood, NJ 08701-5928
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