Corinn Michelle Crawford, MA, BCBA, LBA

Individual provider Active NPI Behavior Analyst · Stony Point, NY

NPI 1124381694 · NPPES record last updated Oct 3, 2014

Key facts

NPI
1124381694
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
1119040 (NY)
Practice address
48 Gilmore Dr
Stony Point, NY 10980-1044
Phone
(845) 641-7904
NPI assigned
Jun 20, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1119040NYMDBehavioral Analyst
1901806NYMDSpecialist
857635NYMDSpecialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1119040 NY Yes
Specialist 174400000X 857635 NY
Specialist 174400000X 1901806 NY

Addresses

Primary practice location

48 Gilmore Dr
Stony Point, NY 10980-1044

Mailing address

48 Gilmore Dr
Stony Point, NY 10980-1044
Phone (845) 641-7904

Other names

  • Ms. Corinn Michelle Keeney Former name

Other providers in Stony Point, NY

All providers in Stony Point, NY · Behavior Analyst in New York

Sources for this page

Verify at the official NPI Registry.