Krystal Wanida Chinothai, BA

NPI #1538795034 in Encinitas, California

Provider Information

NPI Number: 1538795034
Entity Type: Individual
Name: Krystal Wanida Chinothai, BA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: BA
Enumeration Date: Mar 16, 2020
Last Updated: Mar 16, 2020

Practice Location

Address: 662 ENCINITAS BLVD STE 208
City: Encinitas
State: California
ZIP Code: 92024-6789
Phone: (760) 634-1125

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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