Individual
REBEKAH CROLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1345 COMPANION CT, SUMTER, SC 29150-1749
(803) 905-5107
Mailing address
1321 MURFREESBORO PIKE STE 605, NASHVILLE, TN 37217-2646
(615) 695-2278
(615) 577-5654
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
15-10836
SC
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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