Most Relevant Information
Provider Data
| NPI Number: | 1003694399 |
| Provider Name: | KRISTYN ASHLEY-ANN BARNES |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/18/2023 |
| Last Updated: | 09/25/2023 |
Provider Practice Location
1411 W 190TH ST
GARDENA
CA
902484324
Practice Location Phone/Fax
| Phone: | 3107193908 |
| Fax: |
Provider Mailing Location
378 E HILLSDALE ST APT B
INGLEWOOD
CA
903026266
Provider Mailing Phone/Fax
| Phone: | 3238754036 |
| Fax: |