Individual
KRYSTIN ALYSE ABT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12725 W INDIAN SCHOOL RD BLDG D, AVONDALE, AZ 85392-9520
(623) 207-7190
Mailing address
12725 W INDIAN SCHOOL RD BLDG D, AVONDALE, AZ 85392-9520
(623) 207-7190
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-83078
AZ
106S00000X
Behavior Technician
21166742
SC
Other
Enumeration date
10/11/2021
Last updated
08/04/2025
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