Javier Samuel, Krystal Celeste
Javier Samuel, Krystal Celeste is an individual health care provider with primary practice located at 739 Thimble Shoals Blvd Ste 302 , Newport News VA 23606-3562. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Javier Samuel, Krystal Celeste can be contacted via phone (866) 565-7222.Contact Information
Primary practice address
739 Thimble Shoals Blvd Ste 302
Newport News VA 23606-3562
Phone: (866) 565-7222
Fax: (877) 734-1914
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-22-57726 | Virginia |
Profile Details
NPI number | 1194231639 |
---|---|
LBN Legal business name | Javier Samuel, Krystal Celeste |
Credentials | BCBA, LBA |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 20th, 2017 |
Last updated | Sep 21st, 2023 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194231639 | NPPES |
Virginia | MEDICAID | 1194231639 |
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