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Krystin Jherel Fullwood
Mental Health Counselor in Summerfield, North Carolina
NPI 1629505599

Krystin Jherel Fullwood is a Mental Health Counselor based in Summerfield, NC and is specialized in Mental Health. Krystin Jherel Fullwood practices in Summerfield, NC. The NPI Number for Krystin Jherel Fullwood is 1629505599 and holds a License No. (North Carolina).

The current practice location address for Krystin Jherel Fullwood is 6633 Alley Rd, Summerfield, NC and can be reached out via phone at 336-280-9976.

Location: 6633 Alley Rd, Summerfield, NC, 27358-9203
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629505599
Provider Name
Krystin Jherel Fullwood
Credential
Provider Entity Type
Individual
Gender
Female
Address
6633 Alley Rd, Summerfield, NC, 27358-9203
Phone Number
336-280-9976
Fax Number
Provider Enumeration Date
05/22/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6633 Alley Rd
City
Summerfield
State
North Carolina
Zip
27358-9203
Phone Number
336-280-9976
Fax Number
person
Provider Business Mailing Address Details
Address
6633 Alley Rd
City
Summerfield
State
North Carolina
Zip
27358-9203
Phone Number
336-280-9976
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
A19108 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Behavior Technician
Speciality
-
Taxonomy
106S00000X
License No.
()
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
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