Organization
KRYSTAL JAVIER SAMUEL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL JAVIER SAMUEL (BCBA)
(719) 330-7639
Entity
Organization
Contact information
Practice address
200 CONTINENTAL PKWY APT 311, NEWPORT NEWS, VA 23602-4540
(719) 330-7639
Mailing address
200 CONTINENTAL PKWY APT 311, NEWPORT NEWS, VA 23602-4540
(719) 330-7639
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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