Individual
CRYSTAL CLYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1950 KEENE RD BLDG K, RICHLAND, WA 99352-7752
(509) 420-3442
Mailing address
551 KRUG RD, CONNELL, WA 99326-9748
(801) 616-2190
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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