Individual
CRYSTAL WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 RICE AVE, DUBLIN, GA 31021-3524
(800) 832-9419
(855) 859-1671
Mailing address
816 TANGLEWOOD CIR, DUBLIN, GA 31021-1022
(478) 279-7214
(833) 478-1298
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-16-26861
GA
Other
Enumeration date
08/28/2017
Last updated
07/31/2024
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