Provider Demographics
NPI:1982264651
Name:ATKINSON, CHRYSTAL LYNNE (BCBA)
Entity type:Individual
Prefix:MS
First Name:CHRYSTAL
Middle Name:LYNNE
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:MRS
Other - First Name:CHRYSTAL
Other - Middle Name:LYNNE
Other - Last Name:REED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:920 TWIN BRIDGES RD APT 117
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71303-2074
Mailing Address - Country:US
Mailing Address - Phone:318-491-0305
Mailing Address - Fax:
Practice Address - Street 1:5731 JACKSON ST STE B&C
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71303-7022
Practice Address - Country:US
Practice Address - Phone:318-704-6470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-15
Last Update Date:2019-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst