Sally Marie Crumb, M.S.ED
Individual provider Active NPI Behavior Analyst · Amazonia, MO
NPI 1669604203 · NPPES record last updated Aug 16, 2009
Key facts
- NPI
- 1669604203
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 14360 County Road 408
Amazonia, MO 64421-8119 - Phone
- (816) 475-2451
- NPI assigned
- Aug 16, 2009
- Sex
- Female
- Sole proprietor
- Yes
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes | ||
| Community/Behavioral Health Agency | 251S00000X | |||
| Early Intervention Provider Agency | 252Y00000X |
Addresses
Primary practice location
14360 County Road 408
Amazonia, MO 64421-8119
Mailing address
14360 County Road 408
Amazonia, MO 64421-8119
Phone (816) 475-2451
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.