Crystal Marie Riddle-anderson, NA-C, P-TA, SUD, CPC is a
Behavior Technician based in Newport, Washington. Crystal Marie Riddle-anderson is licensed to practice in * (Not Available) (license number ) and her current practice location is
1348 Sunrise Hill Ln, Newport, Washington. She can be reached at her office (for appointments etc.) via phone at
(208) 217-1079.
NPI number for Crystal Marie Riddle-anderson is 1215684485 and her current mailing address is 1348 Sunrise Hill Ln # A, Newport, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215684485.
Healthcare Provider's Profile
| Full Name | Crystal Marie Riddle-anderson |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Technician |
|---|
| Location | 1348 Sunrise Hill Ln, Newport, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1215684485
- Provider Enumeration Date: 03/07/2022
- Last Update Date: 03/07/2022
Medical Identifiers
Medical identifiers for Crystal Marie Riddle-anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215684485 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (* (Not Available)) | Secondary |
| 225200000X | Physical Therapy Assistant | (* (Not Available)) | Secondary |
| 376K00000X | Nurse's Aide | (* (Not Available)) | 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 Marie Riddle-anderson 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 Marie Riddle-anderson, NA-C, P-TA, SUD, CPC
1348 Sunrise Hill Ln # A,
Newport, WA 99156-8788
Ph: (509) 906-3471 | Crystal Marie Riddle-anderson, NA-C, P-TA, SUD, CPC
1348 Sunrise Hill Ln,
Newport, WA 99156-8788
Ph: (208) 217-1079 |
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