Individual
ELLYSON BEE CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 S WOODRUFF AVE, IDAHO FALLS, ID 83401-5285
(888) 392-8642
Mailing address
718 LUPINE CIR, REXBURG, ID 83440-1700
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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