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NPI Code Detail

MEDICARE: KRYSTAL AGUILAR

MEDICARE: KRYSTAL AGUILAR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-25-83759TX
2106S00000XBehavior TechnicianRBT-19-87851TX

General Provider Information

NPI Number : 1336706076
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRYSTAL AGUILAR
Provider Business Mailing Address
First Line : 3052 S SHORE BLVD
Second Line :
City : LEAGUE CITY
State : TX
Zip : 77573-3907
Country : US
Telephone Number : 281-661-1901
Fax Number :
Provider Business Practice Location Address
First Line : 3052 S SHORE BLVD
Second Line :
City : LEAGUE CITY
State : TX
Zip : 77573-3907
Country : US
Telephone Number : 281-661-1901
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2019
Last Update Date : 01/26/2026

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Directions to “ KRYSTAL AGUILAR ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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