| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CHRISLYN YVONNE-RENEE EARLE | 1871143479 | 2023-01-21 |
Chrislyn Yvonne-renee Earle is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1871143479. Registration indicates Chrislyn Yvonne-renee Earle is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, ) (Other Service Providers, Community Health Worker) (Community Health Worker, ) (Community Health Worker, Other Service Providers) (Other Service Providers, Community Health Worker) (Community Health Worker, ) (Community Health Worker, Other Service Providers)
| Entity Type | Individual |
| Provider Name | Miss Chrislyn Yvonne-renee Earle |
| Practice Office Address | 1801 VICENTE ST SAN FRANCISCO, CA US |
| Practice Office Telephone | 4156823175 |
| Mailing Address | 1801 VICENTE ST SAN FRANCISCO, CA 941162923 US |
| Business Telephone | 4156823175 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 1801 Vicente St | San Francisco, CA 941162923 | 4156823175 |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |
CA |
| 172V00000X | Other Service Providers Community Health Worker Community Health Worker Community Health Worker Other Service Providers | 1871143479
CA |
| 172V00000X PRIMARY | Other Service Providers Community Health Worker Community Health Worker Community Health Worker Other Service Providers |