Individual
TAYLOR JADE GRIDER CROWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, BCBA
Contact information
Practice address
2205 E GRANTVIEW DR, CORALVILLE, IA 52241-3406
(319) 294-9609
Mailing address
507 10TH AVE, CORALVILLE, IA 52241-1922
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-72397
CO
Other
Enumeration date
04/16/2024
Last updated
04/18/2024
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