Larissa Mrad-Crawford

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

478 Columbia Industrial Blvd
Evans, GA 30809-6127

Phone

(706) 437-0505

NPI assigned

Aug 6, 2021

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Center New Beginnings

  • Community/Behavioral Health Agency
  • Waynesboro, GA
  • NPI 1790168847

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1376217927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "478 COLUMBIA INDUSTRIAL BLVD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308096127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "478 COLUMBIA INDUSTRIAL BLVD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308096127",
            "telephone_number": "706-437-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MRAD-CRAWFORD",
        "first_name": "LARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-06",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morningside of Evans, Limited Partnership
• Dalicia Morris
• Kacee Camp Morris, PA-C
• Diane Elizabeth Morrow, RN, BSN, CCM
• Amy Boozer Moyer, PT
• Ermina Mujadzic, MD
• Hannah Mulkey, PA-C
• Emily Elizabeth Mullner
• Jennifer E. Mumford, PA-C
• Damian Muniz

• Behavior Analyst in Evans, GA
• Providers in Evans, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.