Individual
BAILEY CROSIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
355 QUARTERMASTER CT, JEFFERSONVILLE, IN 47130-3670
(812) 258-9802
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-50105
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-18-50105
CERTIFICATE
—
Enumeration date
02/12/2020
Last updated
02/12/2020
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