MEDICARE: CRYSTAL MARIE ROMERO

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
1	106S00000X	Behavior Technician		CA

General Provider Information

NPI Number	:	1366385957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRYSTAL MARIE ROMERO

Provider Business Mailing Address
First Line	:	350 FAIRWAY DRIVE
Second Line	:	SUITE 101
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33441
Country	:	US
Telephone Number	:	877-418-2978
Fax Number	:	866-500-2186

Provider Business Practice Location Address
First Line	:	5377 N. FRESNO STREET
Second Line	:	SUITE 103
City	:	FRESNO
State	:	CA
Zip	:	93710
Country	:	US
Telephone Number	:	888-880-9270
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2026
Last Update Date	:	04/14/2026

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Directions to “ CRYSTAL MARIE ROMERO ” Practice Location

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