Miss Krystle Lasha Greely, INTERN is a
Behavior Technician based in Ontario, California. Miss Krystle Lasha Greely is licensed to practice in * (Not Available) (license number ) and her current practice location is
1801 Excise Ave Ste 116, Ontario, California. She can be reached at her office (for appointments etc.) via phone at
(818) 241-6780.
NPI number for Miss Krystle Lasha Greely is 1154576650 and her current mailing address is 1055 E Colorado Blvd Ste 560, Pasadena, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154576650.
Healthcare Provider's Profile
| Full Name | Miss Krystle Lasha Greely |
|---|
| Gender | Female |
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| Speciality | Behavior Technician |
|---|
| Location | 1801 Excise Ave Ste 116, Ontario, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1154576650
- Provider Enumeration Date: 11/25/2008
- Last Update Date: 09/11/2019
Medical Identifiers
Medical identifiers for Miss Krystle Lasha Greely such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154576650 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Krystle Lasha Greely is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Miss Krystle Lasha Greely, INTERN
1055 E Colorado Blvd Ste 560,
Pasadena, CA 91106-2380
Ph: () - | Miss Krystle Lasha Greely, INTERN
1801 Excise Ave Ste 116,
Ontario, CA 91761
Ph: (818) 241-6780 |
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