Individual
CRYSTAL VAN BRUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22910 REGENT DR, ATHENS, AL 35613-5660
(479) 597-0552
Mailing address
22910 REGENT DR, ATHENS, AL 35613-5660
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AL
Other
Enumeration date
07/31/2023
Last updated
08/03/2023
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