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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

CRYSTAL BLACK, RBT is a Behavior Analyst healthcare provider located in PICAYUNE, Mississippi. NPI 1336916733 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · PICAYUNE, MS

Registration Details

NPI Number
1336916733
Provider Type
Individual
Gender
Female
NPI Issued
Dec 6, 2023 (2.8943178228672 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.