Individual
STEPHANIE LYNN CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1405 GILLOCK RD, CARROLLTON, KY 41008-9511
(502) 686-1606
Mailing address
3 FLORA GREEN RD, BEDFORD, KY 40006-8459
(502) 662-2960
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-5747-871793
KY
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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