Glenda Faye Craft

Individual provider Active NPI Assistant Behavior Analyst · Grayson, LA

NPI 1447847736 · NPPES record last updated Dec 21, 2020

Key facts

NPI
1447847736
Entity type
Individual (NPI type 1)
Primary specialty
Assistant Behavior Analyst 106E00000X
Practice address
401 Parker Rd
Grayson, LA 71435-3684
Phone
(318) 235-8874
NPI assigned
Dec 21, 2020
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X Yes

Addresses

Primary practice location

401 Parker Rd
Grayson, LA 71435-3684

Mailing address

401 Parker Rd
Grayson, LA 71435-3684
Phone (318) 235-8874

Other providers in Grayson, LA

All providers in Grayson, LA · Assistant Behavior Analyst in Louisiana

Sources for this page

Verify at the official NPI Registry.