| NPI | 1679023105 |
|---|---|
| Former Name | ANGELA NICOLE CRAWFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: CA 0-16-7392) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 16-12782) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-10-07 |