Individual
CHRYSTINA BOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14055 TOWN LOOP BLVD, 300, ORLANDO, FL 32837-6105
(407) 857-6285
Mailing address
5340 MILLENIA BLVD APT 12113, ORLANDO, FL 32839-3435
(407) 757-9366
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
B200105819250
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103K00000X
—
FL
Enumeration date
08/02/2016
Last updated
08/02/2016
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