Individual
COURTNEY CROCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
3255 OLD CONEJO RD STE 202, THOUSAND OAKS, CA 91320-2153
(805) 254-6249
(855) 568-2494
Mailing address
18726 S WESTERN AVE STE 408, GARDENA, CA 90248-3858
(310) 856-0800
(855) 568-2494
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-39977
CA
Other
Enumeration date
11/21/2018
Last updated
05/17/2021
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