Provider Demographics
NPI:1538049523
Name:ORELLANA, CRYSTAL HELEN (SCHOOL PSYCH, BCBA)
Entity type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:HELEN
Last Name:ORELLANA
Suffix:
Gender:F
Credentials:SCHOOL PSYCH, BCBA
Other - Prefix:
Other - First Name:CRYSTAL
Other - Middle Name:HELEN
Other - Last Name:ELLIOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRYSTAL HELENELLIOTT
Mailing Address - Street 1:3711 OASIS RD
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96003-0307
Mailing Address - Country:US
Mailing Address - Phone:530-275-5480
Mailing Address - Fax:530-275-5416
Practice Address - Street 1:3711 OASIS RD
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96003-0307
Practice Address - Country:US
Practice Address - Phone:925-323-7268
Practice Address - Fax:530-275-5416
Is Sole Proprietor?:No
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA250167487103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool