Individual
JAYLENE CRANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 SW G. STREET, GRANTS PASS, OR 97526-2544
(541) 476-2373
(541) 476-1526
Mailing address
1215 SW G. STREET, GRANTS PASS, OR 97526-2544
(541) 476-2373
(541) 476-1526
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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