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Individual

KRYSTAR LAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BEHAVIOR TECHNICIAN

Contact information

Practice address
1901 CARNEGIE AVE STE 1C, SANTA ANA, CA 92705-5504
(800) 273-4292
(714) 596-6274
Mailing address
30418 TERRACINA PL, CASTAIC, CA 91384-4781
(661) 755-0469

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
02/24/2023
Last updated
05/15/2025
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