MRS. CRYSTAL EDDY


Address: 3115 Sunset Blvd, West Columbia, SC 29169-3425
Phone: 8037913222

MRS. CRYSTAL EDDY (NPI# 1285022293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285022293
Entity Type Individual
Full Name MRS. CRYSTAL EDDY
Credential LMSW, MPH, BCBA
Practice Address 3115 Sunset Blvd
West Columbia
SC 29169-3425
Mailing Address Po Box 51322
Bowling Green
KY 42102-5622
Practice Telephone 8037913222
Mailing Telephone 2707779283
Mailing Fax Number 2707779283
Enumeration Date 2014-12-26
Last Update Date 2017-06-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst 1-14-17211 SC Behavioral Health & Social Service Providers

Other Providers CRYSTAL EDDY

NPI Name Taxonomy Address Enumeration
1558785568 Crystal Eddy Psychologist 1555 Industrial Dr, Owosso, MI 48867-9775 2014-02-11

Office Location

Street Address 3115 SUNSET BLVD
City WEST COLUMBIA
State SC
Zip Code 29169-3425

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831595321 Aubrey Wise Assistant Behavior Analyst 3115 Sunset Blvd, West Columbia, SC 29169-3425 2014-11-10
1750866406 Clarissa Salas Behavior Technician 3115 Sunset Blvd, West Columbia, SC 29169-3425 2018-09-28
1811474992 Ashley Jenkins Behavior Technician 3115 Sunset Blvd, West Columbia, SC 29169-3425 2018-07-23
1285111351 Lacey Anslow Behavior Technician 3115 Sunset Blvd, West Columbia, SC 29169-3425 2018-07-23
1851878920 Summer Wadford Behavior Technician 3115 Sunset Blvd, West Columbia, SC 29169-3425 2018-07-23
1053898288 Jennifer Byerly Behavior Technician 3115 Sunset Blvd, West Columbia, SC 29169-3425 2018-07-20
1952895138 Jennifer Shealy Behavior Technician 3115 Sunset Blvd, West Columbia, SC 29169-3425 2018-06-20
1538657176 Charlotte Harvin Behavior Technician 3115 Sunset Blvd, West Columbia, SC 29169-3425 2018-04-30
1871081026 Sarah Trowbridge Behavior Technician 3115 Sunset Blvd, West Columbia, SC 29169-3425 2018-04-24
1972091007 Lauren Williams Behavior Technician 3115 Sunset Blvd, West Columbia, SC 29169-3425 2018-04-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457960726 Jerry Scott Oreilly Physical Therapy Assistant 100 Dreher Rd, Suite 100, West Columbia, SC 29169 2020-07-23
1134759921 A&m Medical, LLC Durable Medical Equipment & Medical Supplies 1053 Sunset Boulevard, West Columbia, SC 29169 2020-01-21
1750946067 First Physical Therapy, LLC Clinic/Center 100 Dreher Rd., Suite 100, West Columbia, SC 29169 2019-05-02
1295217545 Tynaka Kwans Wilson Nurse Practitioner Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 2018-09-04
1588183826 Kimberly Jane Jennings Registered Nurse 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 2017-09-19
1164943213 Jacob Luke Wayland Emergency Medicine Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 2017-06-29
1740721232 Heather Detwiler Physical Therapy Assistant 2705 Leaphart Rd., Carolina Gardens, West Columbia, SC 29169 2017-03-16
1588110761 Virginia I Hall Nurse Practitioner 2720 Susnet Blvd, West Columbia, SC 29169 2016-08-29
1215395744 Stacey Khalifa Social Worker 160 Medical Cir Fl 1, West Columbia, SC 29169 2016-01-28
1407252331 Sandy Frye Boone Counselor 2318 Sunset Blvd # 2a, West Columbia, SC 29169 2014-11-04
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083231062 Palmetto Behavioral Services LLC Behavioral Analyst 308 S Marble St, West Columbia, SC 29169-7212 2020-06-25
1851888226 Helen Shelton Behavioral Analyst 3115 Sunset Blvd, West Columbia, SC 29169-3425 2018-04-20
1043735186 Melissa Wise Behavioral Analyst 3115 Sunset Blvd, West Columbia, SC 29169-3425 2017-08-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1811596976 Save Our Youth Movement Behavioral Analyst 3752 Highway 34 W, Latta, SC 29565-4485 2020-10-20
1912510074 Boost Behavioral Services LLC Behavioral Analyst 14b Marshellen Dr, Beaufort, SC 29902-6900 2020-08-28
1194336370 Lindsay Jeanne Small Behavioral Analyst 751 East Georgia St, Woodruff, SC 29388 2020-08-12
1508481839 Laura Crisan Behavioral Analyst 109 Preserve Ln, Columbia, SC 29209-1231 2020-06-12
1316562796 Jennifer L Elkins Behavioral Analyst 4 Carriage Ln Ste 306, Charleston, SC 29407-6050 2020-06-11
1528681251 Spectrum Aba Behavioral Analyst 19 Spring Falls Ct, Greenville, SC 29607-7101 2020-05-28
1225651292 Patricia L Farrar Behavioral Analyst 3572 Harmony Rd, Catawba, SC 29704-9478 2020-05-25
1932721701 Laura Wallace Behavioral Analyst 925 Roxburgh Ave, Rock Hill, SC 29732-5505 2020-05-14
1720600661 Risley Linder Jr. Behavioral Analyst 2003 Greene St Apt 105, Columbia, SC 29205-1638 2020-05-14
1639705106 Empowered Family Sc, LLC Behavioral Analyst 952 Houston Northcutt Blvd Ste 202, Mount Pleasant, SC 29464-5659 2020-03-17
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Competitor

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City WEST COLUMBIA
Zip Code 29169

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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