Crystal Faircloth, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-15-20833 Issued in FL

Practice address

877 Ygnacio Valley Rd Ste 100
Walnut Creek, CA 94596-3897

Phone

(925) 482-3330

NPI assigned

Jan 6, 2016

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

Other names 1

• Crystal Hallmark Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• First Steps for Kids, Inc.

  • Early Intervention Provider Agency
  • Walnut Creek, CA
  • NPI 1083089130
  NPD (past)
• Firststeps for Kids

  • Early Intervention Provider Agency
  • Walnut Creek, CA
  • NPI 1194197657
  NPD (past)
• Beyond Expectations Inc.

  • Multi-Specialty Clinic/Center
  • Fort Walton Beach, FL
  • NPI 1114278686

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692489600000",
    "number": "1659737617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 CORTONA DR",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945824625",
            "telephone_number": "850-865-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 YGNACIO VALLEY RD STE 100",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963897",
            "telephone_number": "925-482-3330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Lewis St",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325473142",
            "country_code": "US",
            "telephone_number": "850-362-6824",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5154 Bayou Blvd",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "32504",
            "country_code": "US",
            "telephone_number": "850-461-4681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAIRCLOTH",
        "first_name": "CRYSTAL",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-06",
        "last_updated": "2023-08-20",
        "certification_date": "2023-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-15-20833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "HALLMARK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samiah Ezell
• Catherine Faan
• Adrianna Bella Faasala-Mair
• Fadi G. Haddad, MD, Inc
• Christy Fagen
• James Donald Faison, PTA, ATC, CSCS
• Jennifer Falk, PA-C
• Ayodeji Falomo
• Justin Ryoma Famarato
• Family Whole Health PC

• Behavior Analyst in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2023; 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.