Individual
CRYSTAL AUTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
561 GRAND WAILEA DR, HOPE MILLS, NC 28348-8191
(910) 257-1066
Mailing address
561 GRAND WAILEA DR, HOPE MILLS, NC 28348-8191
(910) 257-1066
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/01/2026
Last updated
07/01/2026
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