Individual
CRYSTAL QUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BEHAVIOR TECHNICIAN
Contact information
Practice address
19 NIZAM DR, WORCESTER, MA 01605-4017
(508) 615-6078
Mailing address
19 NIZAM DR, WORCESTER, MA 01605-4017
(508) 615-6078
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-243888
MA
Other
Enumeration date
07/03/2023
Last updated
07/05/2023
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