Provider Information
Last Updated : Aug 14 2024 4:02 PM
Crystal Eriksen
City Fresno |
Group HEALTH NET DIRECT FFS MEDI-CAL |
Specialty Qualified Autism Svc Provider |
Last Name Eriksen |
First Name Crystal |
Address 6177 N Thesta St Ste 103 |
State CA |
Zip Code 93710 |
Phone (855)223-7123 |
Hours Mon - Fri 8:00 AM - 5:00 PM |
Gender F |
Title BCBA |
Physician ID 239470 |
Section Number A |
County FRESNO |
Accepting New Patient Yes |
PPG NAME HEALTH NET DIRECT FFS MEDI-CAL |
PPG ID MHDML |
NPI Number 1053785246 |
Access Requirement Limited |
PARKING_IND P |
EXT_BUILD_IND EB |
INT_BUILD_IND IB |
RESTROOM_IND R |
License ID BCB19656 |
Email credentialing@acesaba.com |
Board Certified No |
Self Access Flag Self Reported Data |
PHY CCT IND N |