Greely, Krystle Lasha

Greely, Krystle Lasha is an individual health care provider with primary practice located at 1801 Excise Ave Ste 116 , Ontario CA 91761. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Greely, Krystle Lasha can be contacted via phone (818) 241-6780.

Contact Information

Primary practice address
1801 Excise Ave Ste 116 Ontario CA 91761
Phone: (818) 241-6780
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1154576650
LBN Legal business name Greely, Krystle Lasha
Credentials INTERN
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2008
Last updated Sep 11th, 2019 - 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.

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