Healthcare Provider Details

I. General information

NPI: 1346007911
Provider Name (Legal Business Name): CRYSTAL LYNN ZUROLO BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/29/2024
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 WHITING ST
NEW BRITAIN CT
06051-3184
US

IV. Provider business mailing address

46 INVERNESS LN
MIDDLETOWN CT
06457-1626
US

V. Phone/Fax

Practice location:
  • Phone: 888-754-0398
  • Fax:
Mailing address:
  • Phone: 203-314-0866
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1860
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: