Columbia, Crystal Diane
Columbia, Crystal Diane is an sole proprietor health care provider with primary practice located at 1171 Bridgeton Rd , Fawn Grove PA 17321-9320. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Health Educator, Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Columbia, Crystal Diane can be contacted via phone (443) 417-4800.Contact Information
Primary practice address
1171 Bridgeton Rd
Fawn Grove PA 17321-9320
Phone: (443) 417-4800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Health Educator | 174H00000X | ||
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1811676752 |
|---|---|
| LBN Legal business name | Columbia, Crystal Diane |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2023 |
| Last updated | Jul 17th, 2023 - about 3 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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