Individual
CRYSTAL MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
804 PARK AVE N APT A, TIFTON, GA 31794-0906
(480) 825-0697
Mailing address
804 PARK AVE N APT A, TIFTON, GA 31794-0906
(480) 825-0697
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-3240004
GA
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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