Individual
KRYSTYN FELSHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
15 SEXTANT DR, BARNEGAT, NJ 08005-1610
(732) 430-5209
Mailing address
15 SEXTANT DR, BARNEGAT, NJ 08005-1610
(732) 430-5209
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-14-6422
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-14-6422
BEHAVIOR ANALYST CERTIFICATION BOARD
NJ
Enumeration date
06/23/2015
Last updated
06/23/2015
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