Individual
CRYSTAL ELIZABETH FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
3140 S RAINBOW BLVD STE 400, LAS VEGAS, NV 89146-6234
(702) 400-1720
Mailing address
165 ALAMERE FALLS DR, LAS VEGAS, NV 89138-6156
(702) 400-1720
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB898266
NV
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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