Individual
CRYSTAL AGOLUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, LBA
Contact information
Practice address
1649 61ST ST STE 301, BROOKLYN, NY 11204-2746
(845) 458-8755
Mailing address
1649 61ST ST STE 301, BROOKLYN, NY 11204-2746
(845) 458-8755
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
004390
NY
103K00000X
Behavior Analyst
Primary
6895
TX
Other
Enumeration date
05/26/2020
Last updated
11/24/2025
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