James Crudup
Behavior Technician in Sacramento, CA. Individual provider (NPI-1).
NPI number1669184875
StatusActive
Last updated in NPPESDec 19, 2022
Details
- NPI
- 1669184875
- Entity type
- Individual (NPI-1)
- Name
- James Crudup
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 19, 2022
- Certification date
- Dec 19, 2022
- Last updated
- Dec 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3031 C StSacramento, CA 95816-3326
Phone 916-442-2396
Mailing address
3031 C StSacramento, CA 95816-3326
Phone 916-442-2396
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