Crystal Diane Columbia

NPI #1811676752 in Fawn Grove, Pennsylvania

Provider Information

NPI Number: 1811676752
Entity Type: Individual
Name: Crystal Diane Columbia
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jul 17, 2023
Last Updated: Jul 17, 2023

Practice Location

Address: 1171 BRIDGETON RD
City: Fawn Grove
State: Pennsylvania
ZIP Code: 17321-9320
Phone: (443) 417-4800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Health Educator	174H00000X
Behavior Technician	106S00000X	Primary
Behavior Analyst	103K00000X

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