Krystal Becker, RBT

Individual provider Active NPI Behavior Technician · Rock Springs, WY

NPI 1861074007 · NPPES record last updated Apr 27, 2021

Key facts

NPI
1861074007
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT21165482 (WY)
Practice address
2632 Foothill Blvd
Rock Springs, WY 82901-4756
Phone
(307) 257-5487
NPI assigned
Apr 27, 2021
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

State licenses

LicenseStateTypeSpecialty
RBT21165482WYMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT21165482 WY Yes

Addresses

Primary practice location

2632 Foothill Blvd
Rock Springs, WY 82901-4756

Mailing address

PO Box 11231
Jackson, WY 83002-1231
Phone (307) 257-5487

Other providers in Rock Springs, WY

All providers in Rock Springs, WY · Behavior Technician in Wyoming

Sources for this page

Verify at the official NPI Registry.