Draveling, Krystal Brooke

Draveling, Krystal Brooke is an individual health care provider with primary practice located at 120 Stevens St Sw , Grand Rapids MI 49507-1526. She recently has 3 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Draveling, Krystal Brooke can be contacted via phone (855) 832-6727.

Contact Information

Primary practice address
120 Stevens St Sw Grand Rapids MI 49507-1526
Phone: (855) 832-6727
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X BACB520256 Michigan
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1336794932
LBN Legal business name Draveling, Krystal Brooke
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2019
Last updated Oct 1st, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336794932 NPPES
Michigan MEDICAID 1336794932

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