Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRYSTAL MARIE FOUNTAINE
ActiveKRYSTAL MARIE FOUNTAINE is a Behavior Analyst healthcare provider located in TARZANA, California. NPI 1811131014 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · TARZANA, CA
Registration Details
- NPI Number
- 1811131014
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 1, 2009 (17.099821295346 yrs)
- Last Updated
- Jan 19, 2022
- License
-
1-16-23131 (CA)
Practice Information
- Address
-
5554 RESEDA BLVD STE 203TARZANA, CA, 913566212Browse CA providers · Browse ZIP 91356
- Phone
- 8186989507
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in TARZANA, CA
| Name | Credential | NPI |
|---|---|---|
| MS. KATHARINE GUTSHALL | M.A., B.C.B.A. | 1669701611 |
| RANDY ENCISO | — | 1003139890 |
| EVELYN KUNG | MA, BCBA | 1033433883 |
| HENRY MOORE III | MA, BCBA | 1992098248 |
| MS. BITA GHATAN | M.S. | 1023398245 |
| SIENNA LEE GREENER-WOOTEN | MA, BCBA | 1194090753 |
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.