Individual
LATORIA CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 FAIRFIELD CIR, FAYETTEVILLE, GA 30214-3326
(678) 209-3304
Mailing address
115 FAIRFIELD CIR, FAYETTEVILLE, GA 30214-3326
(678) 209-3304
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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