Krystal Zue Canales Crespo
Individual provider Active NPI Assistant Behavior Analyst · Fort Myers, FL
NPI 1922586718 · NPPES record last updated Aug 18, 2019
Key facts
- NPI
- 1922586718
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Assistant Behavior Analyst 106E00000X
- Practice address
- 8359 Beacon Blvd Ste 416
Fort Myers, FL 33907-3065 - Phone
- (786) 972-4700
- NPI assigned
- Aug 2, 2018
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | FL | Yes |
Addresses
Primary practice location
8359 Beacon Blvd Ste 416
Fort Myers, FL 33907-3065
Mailing address
10030 Shephard St Apt 304
Estero, FL 33967-8404
Other practice location 1
10030 Shephard St Apt 304
Estero, FL 33967-8404
Phone (407) 932-8312
Other providers in Fort Myers, FL
- Jennifer Campestrini
- Campos and Campos Therapy Group, 'LLC'
- Damaris Campos-Santiesteban
- Yamislaide Campos
- Can Community Health, Inc.
- Sharon Teresa Candelario
- Michele A Candelore
- Brianna Candelori
- Albany Christina Canelon Colmenarez
- Mary Canfield
All providers in Fort Myers, FL · Assistant Behavior Analyst in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2019. 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.