| NPI | 1457993081 |
|---|---|
| Former Name | CRYSTAL NICOLE FORBES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2019-10-15 |