Etienne, Crystal

Etienne, Crystal is an individual health care provider with primary practice located at 453 King St , Cocoa FL 32922-7621. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Etienne, Crystal can be contacted via phone (321) 633-5511.

Contact Information

Primary practice address
453 King St Cocoa FL 32922-7621
Phone: (321) 633-5511
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1932654423
LBN Legal business name Etienne, Crystal
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2016
Last updated Aug 24th, 2016 - about 8 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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