Individual
CRESCENTIA FERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19804 S 186TH ST, QUEEN CREEK, AZ 85142-5555
(843) 505-3940
Mailing address
19804 S 186TH ST, QUEEN CREEK, AZ 85142-5555
(843) 505-3940
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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