Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Krystallin Stacy

Individual provider Behavior Technician · NPI 1104389733

Krystallin Stacy is a Behavior Technician in Petaluma, California. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

101 H St Ste L
Petaluma, CA 94952-5100
Phone: (866) 206-2008
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1104389733
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 10, 2019
Last updated in NPPESApril 10, 2019
Mailing address1771 Monarch Dr, Napa, CA 94558-1620

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