Individual
KRISTINA LYNN CRACKNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
780 LYNNHAVEN PKWY STE 400, VIRGINIA BEACH, VA 23452-7332
(888) 880-9270
(954) 342-0273
Mailing address
500 FAIRWAY DR STE 102, DEERFIELD BEACH, FL 33441-1817
(888) 880-9270
(954) 342-0273
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001113
VA
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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