Collette, Crystal Amy

Collette, Crystal Amy is an sole proprietor health care provider with primary practice located at 1354 8Th St Sw , Roanoke VA 24015-1812. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Collette, Crystal Amy can be contacted via phone (434) 363-5306.

Contact Information

Primary practice address
1354 8Th St Sw Roanoke VA 24015-1812
Phone: (434) 363-5306
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 0133000276 Virginia
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-11-8012

Profile Details

NPI number 1114201159
LBN Legal business name Collette, Crystal Amy
Credentials M.S., BCBA, LBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2011
Last updated Apr 8th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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