MRS. Crystal Vines, RBT

NPI #1619722287 in Enterprise, Alabama

Provider Information

NPI Number: 1619722287
Entity Type: Individual
Name: MRS. Crystal Vines, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Apr 18, 2024
Last Updated: Apr 18, 2024

Practice Location

Address: 204 N MAIN ST
City: Enterprise
State: Alabama
ZIP Code: 36330-2539
Phone: (334) 379-4033

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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