Pino, Crystal Rose

Pino, Crystal Rose is an sole proprietor health care provider with primary practice located at 9531 Pittsburgh Ave , Rancho Cucamonga CA 91730-6008. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Pino, Crystal Rose can be contacted via phone (909) 484-2848.

Contact Information

Primary practice address
9531 Pittsburgh Ave Rancho Cucamonga CA 91730-6008
Phone: (909) 484-2848
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-11-9012 Florida

Profile Details

NPI number 1669769196
LBN Legal business name Pino, Crystal Rose
Credentials M.A. B.C.B.A.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2011
Last updated Jul 5th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669769196 NPPES
Florida Other 1-11-9012 BEHAVIOR ANALYST CERTIFICATION BOARD

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