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NPI Code Detail

MEDICARE: CRYSTAL LYNN PATNAUDE

MEDICARE: CRYSTAL LYNN PATNAUDE
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1831024751
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRYSTAL LYNN PATNAUDE
Provider Business Mailing Address
First Line : 806 TOWNE PARK DR
Second Line :
City : RINCON
State : GA
Zip : 31326-9368
Country : US
Telephone Number : 912-208-4776
Fax Number :
Provider Business Practice Location Address
First Line : 806 TOWNE PARK DR
Second Line :
City : RINCON
State : GA
Zip : 31326-9368
Country : US
Telephone Number : 912-208-4776
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2026
Last Update Date : 06/13/2026

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Directions to “ CRYSTAL LYNN PATNAUDE ” 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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