Individual
CRYSTAL YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1540 ETNA ST, SAINT PAUL, MN 55106-1420
(651) 757-8455
Mailing address
1540 ETNA ST, SAINT PAUL, MN 55106-1420
(651) 252-8406
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MN
247200000X
Other Technician
—
—
Other
Enumeration date
10/04/2020
Last updated
04/21/2022
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