Crystal Desiree Stephen, CDCA is a
Behavior Technician based in Xenia, Ohio. Crystal Desiree Stephen is licensed to practice in * (Not Available) (license number ) and her current practice location is
36 N Detroit St, Xenia, Ohio. She can be reached at her office (for appointments etc.) via phone at
(937) 610-4673.
NPI number for Crystal Desiree Stephen is 1861253122 and her current mailing address is 100 Crowne Point Pl, Cincinnati, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861253122.
Healthcare Provider's Profile
| Full Name | Crystal Desiree Stephen |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Technician |
|---|
| Location | 36 N Detroit St, Xenia, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1861253122
- Provider Enumeration Date: 01/23/2024
- Last Update Date: 02/18/2025
Medical Identifiers
Medical identifiers for Crystal Desiree Stephen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861253122 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDCA.186419 (Ohio) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Crystal Desiree Stephen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Crystal Desiree Stephen, CDCA
100 Crowne Point Pl,
Cincinnati, OH 45241-5427
Ph: (513) 743-7628 | Crystal Desiree Stephen, CDCA
36 N Detroit St,
Xenia, OH 45385-2909
Ph: (937) 610-4673 |
Reviews and Comments