Shelby Crandon
Behavior Technician in Saint Petersburg, FL. Individual provider (NPI-1).
NPI number1982432647
StatusActive
Last updated in NPPESJul 24, 2024
Details
- NPI
- 1982432647
- Entity type
- Individual (NPI-1)
- Name
- Shelby Crandon
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 24, 2024
- Certification date
- Jul 24, 2024
- Last updated
- Jul 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
Po Box 530638Saint Petersburg, FL 33747-0638
Phone 813-324-5730
Mailing address
2355 12th St SSt Petersburg, FL 33705-2911
Phone 727-358-6171
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