Provider Demographics
NPI:1659806271
Name:HARMS, CRYSTAL ANN (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:CRYSTAL
Middle Name:ANN
Last Name:HARMS
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:MRS
Other - First Name:CRYSTAL
Other - Middle Name:ANN
Other - Last Name:PERKINS-HARMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CABA-FL, BCABA
Mailing Address - Street 1:1 ALDWORTH CT
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08055-3330
Mailing Address - Country:US
Mailing Address - Phone:609-864-2496
Mailing Address - Fax:856-827-7640
Practice Address - Street 1:1 ALDWORTH CT
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:NJ
Practice Address - Zip Code:08055-3330
Practice Address - Country:US
Practice Address - Phone:609-277-3275
Practice Address - Fax:609-367-9329
Is Sole Proprietor?:No
Enumeration Date:2017-04-21
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1-20-45783103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst