Provider Demographics
NPI:1598004970
Name:ZUFELT, KRISTY LEE (CMHC, BCBA)
Entity Type:Individual
Prefix:MRS
First Name:KRISTY
Middle Name:LEE
Last Name:ZUFELT
Suffix:
Gender:F
Credentials:CMHC, BCBA
Other - Prefix:MISS
Other - First Name:KRISTY
Other - Middle Name:LEE
Other - Last Name:CROPPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CMHC, BCBA
Mailing Address - Street 1:271 E 750 N
Mailing Address - Street 2:
Mailing Address - City:DELTA
Mailing Address - State:UT
Mailing Address - Zip Code:84624-8609
Mailing Address - Country:US
Mailing Address - Phone:801-358-5866
Mailing Address - Fax:
Practice Address - Street 1:271 E 750 N
Practice Address - Street 2:
Practice Address - City:DELTA
Practice Address - State:UT
Practice Address - Zip Code:84624-8609
Practice Address - Country:US
Practice Address - Phone:801-358-5866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-05
Last Update Date:2014-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT335050-6004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health