Mrs. Krystal Rose Marie Ellsworth
Mrs. Krystal Rose Marie Ellsworth is a Behavior Technician in Brooklyn, New York. Practices as a sole proprietor. Licensed in Kansas.
- Licensed in
- KS
- In the registry since
- 2024
Practice location Address checks out
6214 24th AveBrooklyn, NY 11204-3319
Phone: (000) 000-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence 106S00000X (KS) |
|---|
Record details
| NPI number | 1023864402 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 26, 2024 |
| Last updated in NPPES | April 26, 2024 |
| Certification date | April 26, 2024 |
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