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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CRYSTAL BLACK, RBT

Active Sole Proprietor

Behavior Analyst · PICAYUNE, MS

Registration Details

NPI Number
1336916733
Provider Type
Individual
Gender
Female
NPI Issued
Dec 6, 2023 (2.3743535917875 yrs)
Last Updated
Dec 6, 2023
License
23-311832 (MS)
Sole Proprietor
Yes

Practice Information

Address
2007 WILDWOOD DR
PICAYUNE, MS, 394662178
Browse MS providers · Browse ZIP 39466
Phone
6014474658
Primary Specialty
Behavior Analyst
103K00000X

Other Behavior Analyst Providers in PICAYUNE, MS

Name Credential NPI
MARY BETH BLANCHET M.A., BCBA, LBA 1952817157
RODDREKA TARNESHA ADAMS 1477113645
LAURA JONES M.ED. BCBA LBA 1386445757
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.