Individual
CRYSTAL DENISE ALBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
12531 CLIPPER DR STE 203, WOODBRIDGE, VA 22192-2355
(571) 839-5704
Mailing address
10832 WOODHAVEN DR, FAIRFAX, VA 22030-4841
(571) 839-5704
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-41819
VA
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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