Individual
CRISSY RAE WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, RBT
Contact information
Practice address
121 CASEY ST STE A, CAMPBELLSVILLE, KY 42718-6858
(270) 465-7768
(270) 789-7602
Mailing address
356 CAMBRIDGE WAY, CAMPBELLSVILLE, KY 42718-8970
(270) 789-7602
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/14/2017
Last updated
07/14/2017
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