Individual
AMBER NICOLE CRUDUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
614 N 6TH ST STE B, SPRINGFIELD, IL 62702-5314
(217) 295-2491
Mailing address
614 N 6TH ST STE B, SPRINGFIELD, IL 62702-5314
(217) 295-2491
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/18/2017
Last updated
06/10/2025
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