Individual provider · NPI-1
Fennec Rae Crossley
Behavior Technician · Farmington Hills, MI
NPI number1487318192
StatusActive
Last updated in NPPESAug 9, 2024
Details
- NPI
- 1487318192
- Entity type
- Individual (NPI-1)
- Name
- Fennec Rae Crossley
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 28, 2021
- Certification date
- Aug 9, 2024
- Last updated
- Aug 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
| 172V00000X | Community Health Worker | – | – |
Other names
- Kailey Crossley (Former Name)
Practice location
27777 Inkster Rd Ste 100Farmington Hills, MI 48334-5312
Phone 248-436-4400
Mailing address
27777 Inkster Rd Ste 100Farmington Hills, MI 48334-5312
Phone 248-436-4400
Other practice locations
5455 Almira Dr Ne
Bremerton, WA 98311-8330
Bremerton, WA 98311-8330
Phone 360-373-5031
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