Healthcare Provider Details

I. General information

NPI: 1124941430
Provider Name (Legal Business Name): CRYSTAL BRIDGE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 SOFTWINDS CT
OWINGS MILLS MD
21117-1368
US

IV. Provider business mailing address

4 SOFTWINDS CT
OWINGS MILLS MD
21117-1368
US

V. Phone/Fax

Practice location:
  • Phone: 667-273-1449
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: SHERIFAT OLUWATOYIN LAWAL
Title or Position: OWNER
Credential:
Phone: 667-273-1449