Individual
MISS KRYSTAL MARIE OSWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LSW
Contact information
Practice address
5801 MOUNT PLEASANT LN, BELLEVILLE, IL 62223-3944
(618) 489-5102
Mailing address
5801 MOUNT PLEASANT LN, BELLEVILLE, IL 62223-3944
(618) 489-5102
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
023005308
MO
103K00000X
Behavior Analyst
Primary
1-17-26500
—
103K00000X
Behavior Analyst
152.001327
IL
104100000X
Social Worker
150.114174
IL
Other
Enumeration date
01/10/2011
Last updated
05/12/2025
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