Cynthia J Craddock
Behavior Technician in Springfield, MA. Individual provider (NPI-1).
NPI number1164043469
StatusActive
Last updated in NPPESApr 28, 2021
Details
- NPI
- 1164043469
- Entity type
- Individual (NPI-1)
- Name
- Cynthia J Craddock
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 28, 2020
- Certification date
- Apr 28, 2021
- Last updated
- Apr 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
| 103K00000X | Behavior Analyst | – | – |
Practice location
90 Carando DrSpringfield, MA 01104-4205
Phone 413-865-6919
Mailing address
90 Carando DrSpringfield, MA 01104-4205
Phone 413-865-6919
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