Krystin Jherel Fullwood
Krystin Jherel Fullwood is a Behavior Technician in Summerfield, North Carolina. Licensed in North Carolina. Registered with an NPI since 2017.
- Licensed in
- NC
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
6633 Alley RdSummerfield, NC 27358-9203
Phone: (336) 280-9976
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence A19108 (NC) |
|---|---|
| Behavior Technician | Taxonomy 106S00000X |
Record details
| NPI number | 1629505599 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 22, 2017 |
| Last updated in NPPES | September 20, 2023 |
| Certification date | September 20, 2023 |