Individual
CRYSTABELLE GENE KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 MAGIC HOLLOW BLVD, VIRGINIA BEACH, VA 23453-3010
(757) 639-2218
(866) 594-3899
Mailing address
5817 WESLEYAN DR, VIRGINIA BEACH, VA 23455-4637
(517) 894-1641
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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