Individual
CRYSTAL LYNN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 TRINITY DR APT 59, LOS ALAMOS, NM 87544-2340
(505) 412-9834
Mailing address
4051 COOKE DR, COLORADO SPRINGS, CO 80911-3427
(303) 562-6096
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NM
Other
Enumeration date
02/21/2021
Last updated
02/21/2021
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