Krystal Gore

NPI #1033939301 in Canton, Texas

Provider Information

NPI Number: 1033939301
Entity Type: Individual
Name: Krystal Gore
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Oct 11, 2024
Last Updated: Oct 11, 2024

Practice Location

Address: 171 VZ COUNTY ROAD 4114
City: Canton
State: Texas
ZIP Code: 75103-5651
Phone: (903) 386-3741

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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