Individual
KRYSTA SCHAEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, MS, LBA
Contact information
Practice address
115 TECHNOLOGY DR UNIT B106, TRUMBULL, CT 06611-6339
(203) 247-5023
Mailing address
12541 W STATE CT, GLENDALE, AZ 85307-1940
(203) 247-5023
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BCBA-1-18-32469
AZ
106S00000X
Behavior Technician
RBT-17-41612
AZ
Other
Enumeration date
12/22/2017
Last updated
12/21/2022
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