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CRYSTAL COAXUM BCBA
NPI 1073134763
Behavior Analyst in Palo Alto, CA

Active since May 04, 2020
228 HAMILTON AVE FL 3, PALO ALTO, CA 94301(510) 274-9836 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2023, May 4, 2020 (2 updates tracked since 2020).

About Crystal Coaxum Bcba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTAL COAXUM BCBA (NPI 1073134763) is an individual behavior analyst provider in Palo Alto, California, licensed in California (1-23-63556) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1073134763
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameCRYSTAL COAXUMCredential: BCBA
Location Address228 HAMILTON AVE FL 3Palo Alto, CA 94301-2583
Mailing Address228 Hamilton Ave Fl 3Palo Alto, CA 94301-2583
Phone(510) 274-9836
Sole ProprietorYes
Enumeration DateMay 4, 2020
Last NPPES UpdateOctober 10, 20232 updates tracked since enumeration
NPPES CertifiedOctober 10, 2023
✔ NPI 1073134763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in CA · 1-23-63556
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.
228 HAMILTON AVE FL 3, Palo Alto, CA 94301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. REBECCA PAULY BCBA
Behavior Analyst
228 HAMILTON AVE FL 3
PALO ALTO, CA 94301
Santa Clara County (408) 310-8242
VICTORIA CARDINALLI M.A., BCBA
Behavior Analyst
228 HAMILTON AVE FL 3
PALO ALTO, CA 94301
Santa Clara County (919) 758-5339
SAMANTHA JADE CHAU MS, BCBA
Behavior Analyst
228 HAMILTON AVE FL 3
PALO ALTO, CA 94301
Santa Clara County (919) 758-5339
MS. SHANNON LESLIE DURAND BCBA
Behavior Analyst
228 HAMILTON AVE FL 3
PALO ALTO, CA 94301
Santa Clara County (254) 715-9536
MATTHEW ADAM JACOBS DO
Psychiatry & Neurology (Psychiatry)
228 HAMILTON AVE FL 3
PALO ALTO, CA 94301
Santa Clara County (408) 915-8237
LAURA LEANN SMITH APRN, FNP-C
Nurse Practitioner (Family)
228 HAMILTON AVE FL 3
PALO ALTO, CA 94301
Santa Clara County (415) 663-5584
MRS. ASHLEY NICOLE JACKOWSKI I MA, BCBA
Behavior Analyst
228 HAMILTON AVE FL 3
PALO ALTO, CA 94301
Santa Clara County (919) 758-5339
JAZMINE KRAVITZ
Behavior Analyst
228 HAMILTON AVE FL 3
PALO ALTO, CA 94301
Santa Clara County (747) 230-9808

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal Coaxum's NPI number?

The NPI number for Crystal Coaxum is 1073134763. It was assigned to this individual provider in the NPPES registry on May 4, 2020.

Where is Crystal Coaxum located?

Crystal Coaxum practices at 228 Hamilton Ave Fl 3, Palo Alto, CA 94301. The listed phone number is (510) 274-9836.

What is Crystal Coaxum's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

What insurance does Crystal Coaxum accept?

Health plans from Providence Health Plan list Crystal Coaxum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Crystal Coaxum was last updated on October 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.