Crystal L Bourassa

NPI #1427917269 in New Bedford, Massachusetts

Provider Information

NPI Number: 1427917269
Entity Type: Individual
Name: Crystal L Bourassa
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jan 19, 2026
Last Updated: Jan 19, 2026

Practice Location

Address: 500 KINGS HWY
City: New Bedford
State: Massachusetts
ZIP Code: 02745-4901
Phone: (508) 329-9819

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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