Crisma Coronado

Individual provider Active NPI Behavior Technician · White Cloud, MI

NPI 1225912488 · NPPES record last updated Aug 1, 2025

Key facts

NPI
1225912488
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1049 E Newell St
White Cloud, MI 49349-8795
Phone
(231) 689-7330
NPI assigned
Aug 1, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1049 E Newell St
White Cloud, MI 49349-8795

Mailing address

1049 E Newell St
White Cloud, MI 49349-8795
Phone (231) 689-7330

Other providers in White Cloud, MI

All providers in White Cloud, MI · Behavior Technician in Michigan

Sources for this page

Verify at the official NPI Registry.