Individual
CRYSTAL MICHELLE SHIMIZU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA, LBA
Contact information
Practice address
1201 PEACHTREE ST NE STE AND300, ATLANTA, GA 30361-3503
(678) 400-5040
Mailing address
19517 138TH AVE SE, RENTON, WA 98058-7742
(818) 304-1313
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-18868
CA
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
11/19/2015
Last updated
09/26/2023
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