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1578034674
ANDREW CROSSMAN
AMMON, ID
NPI
1578034674
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: ID 1-18-32244)
Enumeration Date
2018-12-16
Last Update Date
2018-12-16
Business Address
ANDREW CROSSMAN BCBA
1560 MIDWAY DR
AMMON, ID 83406-6912
Phone number: 208-522-1217
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Mailing Address
ANDREW CROSSMAN BCBA
1570 MIDWAY DR
AMMON, ID 83406-6912
Phone number: 208-709-0537
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