Individual
CRYSTAL NARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 E RUDISILL BLVD STE 100B, FORT WAYNE, IN 46806-1756
(260) 255-3665
Mailing address
3322 QUEEN ST, FORT WAYNE, IN 46806-3979
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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