Individual
CRYSTAL L BOURASSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 KINGS HWY, NEW BEDFORD, MA 02745-4901
(508) 329-9819
Mailing address
884 COUNTY ST, NEW BEDFORD, MA 02740-7039
(508) 329-9819
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
S53333595
MA
Other
Enumeration date
01/19/2026
Last updated
01/19/2026
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