Crystal Mike

Behavior Technician · Jupiter, FL

Individual Active NPI

NPI number 1700316338

Practice location

839 University Blvd
Jupiter, FL 33458-3073
Phone
(772) 519-4119

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NPI record

NPI
1700316338
Entity type
Individual (Type 1)
Enumeration date
June 15, 2017
Last updated
June 15, 2017
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

Mailing address

122 SW Glenwood Dr
Port St Lucie, FL 34984-5026

About Crystal Mike

Crystal Mike is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 839 University Blvd, Jupiter, FL 33458-3073. The NPI number 1700316338 was assigned on June 15, 2017 and the record was last updated on June 15, 2017.

Frequently asked questions

What is the NPI number of Crystal Mike?

The NPI number is 1700316338.

What is the phone number of Crystal Mike?

The phone number listed for the practice location is (772) 519-4119.

Where is Crystal Mike located?

839 University Blvd, Jupiter, FL 33458-3073.

What is the taxonomy code for Crystal Mike?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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