Individual
MRS. CRYSTAL EDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, MPH, BCBA
Contact information
Practice address
3115 SUNSET BLVD, WEST COLUMBIA, SC 29169-3425
(803) 791-3222
Mailing address
PO BOX 51322, BOWLING GREEN, KY 42102-5622
(270) 777-9283
(270) 777-9283
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-17211
SC
Other
Enumeration date
12/26/2014
Last updated
06/26/2017
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