Individual
ASHLEY R CRILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
343 FOUNTAINS PKWY STE 201, FAIRVIEW HEIGHTS, IL 62208-2170
(618) 515-1441
(618) 551-4711
Mailing address
343 FOUNTAINS PKWY STE 201, FAIRVIEW HEIGHTS, IL 62208-2170
(618) 515-1441
(618) 551-4711
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-81293
IL
Other
Enumeration date
06/05/2019
Last updated
06/22/2020
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