Country Roads ABA
Organization Active NPI Behavior Analyst · Hurricane, WV
NPI 1033816129 · NPPES record last updated May 8, 2023
Key facts
- NPI
- 1033816129
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Behavior Analyst 103K00000X
- Legal business name
- COUNTRY ROADS ABA
- Practice address
- 108 Liberty SQ
Hurricane, WV 25526-8809 - Phone
- (304) 840-1585
- NPI assigned
- Feb 9, 2023
- Organization subpart
- No
Authorized official
- Name
- Christopher Michael Crytzer
- Title
- Owner
- Phone
- (304) 840-1585
Practitioners 1
National Provider Directory
Locations
108 Liberty Sq
Hurricane, WV 25526
Phone (304) 840-1585
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | Yes | ||
| Developmental Disabilities Clinic/Center | 261QD1600X |
Addresses
Primary practice location
108 Liberty SQ
Hurricane, WV 25526-8809
Mailing address
108 Liberty SQ
Hurricane, WV 25526-8809
Phone (304) 840-1585
Other names
- Country Roads ABA
Other providers in Hurricane, WV
- Holly Corsaro
- Barbara Cottrell
- Kristen N Cottrill
- Jessica Coulson
- Jill E. Coulter
- Alisha Covert
- Hannah Cox
- James Benjamin Cox
- Jessica Michelle Craig
- Natalie B Craig
All providers in Hurricane, WV · Behavior Analyst in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.