Krystal Thetford
NPI #1003628223 in Encino, California
Provider Information
- NPI Number
- 1003628223
- Entity Type
- Individual
- Name
- Krystal Thetford
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jan 24, 2025
- Last Updated
- Jan 29, 2025
Practice Location
- Address
- 16500 VENTURA BLVD STE 414
- City
- Encino
- State
- California
- ZIP Code
- 91436-5050
- Phone
- (818) 788-1003
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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