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:
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Health care specialties

SpecialtyCodeLicense #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 last year

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 1194231639 NPPES
Virginia MEDICAID 1194231639

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