Individual
ERIN KRZYSIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
710 COLUMBUS AVE, WEST BRANCH, MI 48661-8761
(989) 701-2061
Mailing address
PO BOX 663, LAKELAND, MI 48143-0663
(810) 599-2129
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-19-40060
NH
103K00000X
Behavior Analyst
Primary
—
—
247200000X
Other Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-18-8534
BOARD CERTIFIED ASSISTANT BEHAVIOR ANALYST
—
Enumeration date
05/04/2016
Last updated
11/09/2021
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