Individual
REBECCA CROWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32663 BUSH GARDEN DR, HARRISBURG, OR 97446-9751
(443) 253-3315
Mailing address
32663 BUSH GARDEN DR, HARRISBURG, OR 97446-9751
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-53803
OR
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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