Individual
AMY CRANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1532 SW MAPP RD, PALM CITY, FL 34990-2446
(772) 678-6704
Mailing address
1532 SW MAPP RD, PALM CITY, FL 34990-2446
(772) 678-6704
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-249530
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116582400
—
FL
Enumeration date
12/28/2022
Last updated
12/30/2022
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