Krystal Vincent

NPI #1003372061 in Anaheim, California

Provider Information

NPI Number: 1003372061
Entity Type: Individual
Name: Krystal Vincent
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 14, 2019
Last Updated: Feb 14, 2019

Practice Location

Address: 1301 E ORANGEWOOD AVE
City: Anaheim
State: California
ZIP Code: 92805-6807
Phone: (800) 249-1266

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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