Crissman, Makayla
Crissman, Makayla is an individual health care provider with primary practice located at 919 S Central Ave , Fairborn OH 45324-3804. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Crissman, Makayla can be contacted via phone (937) 878-4614.Contact Information
Primary practice address
919 S Central Ave
Fairborn OH 45324-3804
Phone: (937) 878-4614
Fax: (937) 878-4719
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | 16-27196 |
Profile Details
| NPI number | 1467969204 |
|---|---|
| LBN Legal business name | Crissman, Makayla |
| Credentials | RBT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 2nd, 2018 |
| Last updated | Jan 2nd, 2018 - about 7 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 | 1467969204 | NPPES |
| Other | 16-27196 | REGISTERED BEHAVIOR TECHNICIAN |
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