Crissy Rae Woods, MA, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

121 Casey St Ste a
Campbellsville, KY 42718-6858

Phone

(270) 465-7768

Fax

(270) 789-7602

NPI assigned

Jul 14, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499990400000",
    "number": "1326560053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 CAMBRIDGE WAY",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427188970",
            "telephone_number": "270-789-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CASEY ST STE A",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427186858",
            "telephone_number": "270-465-7768",
            "fax_number": "270-789-7602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "CRISSY",
        "middle_name": "RAE",
        "credential": "MA, RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-14",
        "last_updated": "2017-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Hood Wise, D.M.D
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• Behavior Technician in Campbellsville, KY
• Providers in Campbellsville, KY by specialty
• Behavior Technician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.