Individual
CODY CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
9115 SW OLESON RD STE 100, PORTLAND, OR 97223-6876
(650) 815-1130
Mailing address
1026 W IOWA AVE APT 3, SUNNYVALE, CA 94086-7452
(650) 815-1130
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/11/2016
Last updated
08/12/2019
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