Individual
CRYSTALIZ SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 CEDAR HILL ST, MARLBOROUGH, MA 01752-5900
(555) 555-5555
Mailing address
70 HARRISON AVE APT 1108, SPRINGFIELD, MA 01103-1760
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/16/2026
Last updated
01/16/2026
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