Individual
CRYSTAL D HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S., RBT
Contact information
Practice address
857 FLAGSTONE WAY, ACWORTH, GA 30101-1914
(678) 687-5748
Mailing address
857 FLAGSTONE WAY, ACWORTH, GA 30101-1914
(678) 687-5748
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-98367
GA
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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