Individual
CHRYSTIN NICOLE BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
1529 E SANDY LAKE RD, COPPELL, TX 75019-3107
(469) 382-2111
Mailing address
1529 E SANDY LAKE RD, COPPELL, TX 75019-3107
(469) 382-2111
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-59220
TX
106S00000X
Behavior Technician
RBT-18-61670
—
Other
Enumeration date
12/07/2021
Last updated
07/06/2026
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