Individual
KRYSTAL GUAJARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
350 KRESGE LN, SPARKS, NV 89431-6435
(775) 359-9200
Mailing address
350 KRESGE LN, SPARKS, NV 89431-6435
(775) 359-9200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103TR0400X
Rehabilitation Psychologist
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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