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Individual

MRS. CORINN MICHELLE CRAWFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, BCBA, LBA

Contact information

Practice address
48 GILMORE DR, STONY POINT, NY 10980-1044
(845) 641-7904
Mailing address
48 GILMORE DR, STONY POINT, NY 10980-1044
(845) 641-7904

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1119040
NY
174400000X
Specialist
1901806
NY
174400000X
Specialist
857635
NY

Other

Enumeration date
06/20/2012
Last updated
10/03/2014
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