Individual
CRYSTAL AMBER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1414 N VERCLER RD STE 2, SPOKANE VALLEY, WA 99216-1092
(509) 991-7885
Mailing address
4211 E FREDERICK AVE, SPOKANE, WA 99217-7066
(509) 475-6277
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61104446
WA
106S00000X
Behavior Technician
RBT22-250198
WA
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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