Individual
KRYSTEL MAE AMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11607 SOUTHFORK AVE BLDG B, BATON ROUGE, LA 70816-5220
(888) 880-9270
Mailing address
15309 COCODRIE AVE, BATON ROUGE, LA 70817-4708
(225) 316-6205
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106S00000X
LA
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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