Individual
MRS. CRYSTAL MAY SAMPICA-MANOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS BCBA NYS-LBA
Contact information
Practice address
3665 MILITARY TPKE, WEST CHAZY, NY 12992-2807
(518) 493-3558
Mailing address
3665 MILITARY TPKE, WEST CHAZY, NY 12992-2807
(518) 493-3558
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
000801-1
NY
103K00000X
Behavior Analyst
Primary
1-15-18047
—
Other
Enumeration date
02/07/2018
Last updated
02/07/2018
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