Individual
MS. CRYSTAL GAYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747-4899
(631) 385-7780
(631) 385-7795
Mailing address
1302 E 95TH ST FL 1, BROOKLYN, NY 11236-4314
(917) 702-5246
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NY
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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