Crystal Marie Riddle-Anderson, NA-C, P-TA, SUD, CPC

NPI #1215684485 in Newport, Washington

Provider Information

NPI Number: 1215684485
Entity Type: Individual
Name: Crystal Marie Riddle-Anderson, NA-C, P-TA, SUD, CPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: NA-C, P-TA, SUD, CPC
Enumeration Date: Mar 7, 2022
Last Updated: Mar 7, 2022

Practice Location

Address: 1348 SUNRISE HILL LN
City: Newport
State: Washington
ZIP Code: 99156-8788
Phone: (208) 217-1079

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Social Worker	104100000X
Peer Specialist	175T00000X
Physical Therapy Assistant	225200000X
Nurse's Aide	376K00000X
Behavior Technician	106S00000X	Primary

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