Potter, Krystal

Potter, Krystal is an individual health care provider with primary practice located at 4062 W Shady Plum Way , South Jordan UT 84009-3908. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Potter, Krystal can be contacted via phone (949) 767-7196.

Contact Information

Primary practice address
4062 W Shady Plum Way South Jordan UT 84009-3908
Phone: (949) 767-7196
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1588196992
LBN Legal business name Potter, Krystal
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2017
Last updated Apr 3rd, 2017 - about 9 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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