Individual
KRYSTAL JANE GHIRARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
399 UNITED RD, RAEFORD, NC 28376-5007
(860) 552-9026
Mailing address
399 UNITED RD, RAEFORD, NC 28376-5007
(860) 552-9026
(910) 493-3520
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1582
NC
Other
Enumeration date
03/09/2020
Last updated
07/09/2024
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