Individual
CRYSANY SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 E RINCON ST, CORONA, CA 92879-1363
(714) 785-0127
Mailing address
205 E RINCON ST, SUITE 219, CORONA, CA 92879
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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