NPI 1033816129 · live from the CMS NPI Registry
Country Roads Aba
Behavior Analyst in Hurricane, WV. National Provider Identifier 1033816129, active.
NPI record
| NPI | 1033816129 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 108 Liberty Sq, Hurricane, WV 25526 |
| Practice phone | 304-840-1585 |
| Enumerated | February 9, 2023 |
| Last updated | May 8, 2023 |
| Authorized official | Christopher Crytzer, Owner |
| Other names | Country Roads Aba |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center, Developmental Disabilities | 261QD1600X | — |
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.