Individual
MIKAYLA CRANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
143 OVERLOOK LN, CLINTON, TN 37716-6180
(303) 803-8153
Mailing address
143 OVERLOOK LN, CLINTON, TN 37716-6180
(303) 803-8153
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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