Individual
MRS. CRYSTAL MICHELLE HOLNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
8409 TALBOT ST APT A51, KEW GARDENS, NY 11415-3561
(516) 509-6803
Mailing address
8409 TALBOT ST APT A51, KEW GARDENS, NY 11415-3561
(516) 509-6803
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
P114177
NY
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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