Pettit, Crystal Shannon

Pettit, Crystal Shannon is an sole proprietor health care provider with primary practice located at 10926 S Tryon St Ste E , Charlotte NC 28273-4154. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Pettit, Crystal Shannon can be contacted via phone (855) 201-5498.

Contact Information

Primary practice address
10926 S Tryon St Ste E Charlotte NC 28273-4154
Phone: (855) 201-5498
Fax: (888) 849-4249
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1790176592
LBN Legal business name Pettit, Crystal Shannon
Credentials MAED
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2015
Last updated Jul 14th, 2019 - about 5 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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