Provider Demographics
NPI:1023553930
Name:NAVARRO, KHRYSTINA
Entity Type:Individual
Prefix:
First Name:KHRYSTINA
Middle Name:
Last Name:NAVARRO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7022 S 12TH ST APT 3003
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98465-1741
Mailing Address - Country:US
Mailing Address - Phone:253-213-2471
Mailing Address - Fax:
Practice Address - Street 1:7022 S 12TH ST APT 3003
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98465-1741
Practice Address - Country:US
Practice Address - Phone:253-213-2471
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-31
Last Update Date:2016-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician