Crystal Wood

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

RBT-16-26861 Issued in GA

Practice address

1717 Rice Ave
Dublin, GA 31021-3524

Phone

(800) 832-9419

Fax

(855) 859-1671

NPI assigned

Aug 28, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Abc Behavioral Therapy

  • Behavior Analyst
  • Dublin, GA
  • NPI 1235769209
  NPD
• Compass Behavioral & Developmental Consultants LLC

  • Behavior Analyst
  • Valdosta, GA
  • NPI 1134553985
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1033636329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 TANGLEWOOD CIR",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310211022",
            "telephone_number": "478-279-7214",
            "fax_number": "833-478-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 RICE AVE",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310213524",
            "telephone_number": "800-832-9419",
            "fax_number": "855-859-1671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "CRYSTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "RBT-16-26861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Wynn Wolfe, CRNA
• Karen Wolfgang
• Women'S Imaging Specialists - Dublin LLC
• Wendy Patricia Wongk, R.N.
• Alanna Rhea Wood, RD, LD
• Herbert M Wood, PHARM.D.
• Angie Denise Woodard, LPN
• Meredith Woodard, RN
• Savannah Woodard, RN
• Carlas Dewayne Wooden, LPTA

• Behavior Analyst in Dublin, GA
• Providers in Dublin, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.