Individual
CHRYSTAL OBANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6235 RIVER CREST DR STE N, RIVERSIDE, CA 92507-0758
(951) 653-7561
(951) 653-7563
Mailing address
3356 WALL AVE, SAN BERNARDINO, CA 92404-2223
(909) 533-8056
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Y4455388
CA
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/19/2023
Last updated
04/14/2025
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