CRT Children Services LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

CRT CHILDREN SERVICES LLC

Practice address

212 Rodeo Dr Ste 510
Moscow, ID 83843-9795

Phone

(208) 874-8002

Fax

(208) 596-4010

NPI assigned

Aug 6, 2019

Last updated

Sep 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Calvin Roger Stowe

Title

Administrator

Phone

(208) 340-2370

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1740835834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3491",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838431912",
            "telephone_number": "208-340-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 RODEO DR STE 510",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838439795",
            "telephone_number": "208-874-8002",
            "fax_number": "208-596-4010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 Cedar St",
            "address_purpose": "LOCATION",
            "city": "Sandpoint",
            "state": "ID",
            "postal_code": "838641415",
            "country_code": "US",
            "telephone_number": "208-946-5335",
            "fax_number": "208-946-5338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CRT CHILDREN SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-06",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "STOWE",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "208-340-2370"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Alan Cramer
• Derrick Myron Crawford, DDS, MS
• Heather Diane Crawford
• Katie Lynn Crawshaw
• Gina Cretser, LPC, CRC
• Elizabete Rangel Cruz, LMP
• Jessica Alexandra Cruz, MPAS, PA-C
• Randall Perry Cummings, O.D.
• Duane Dale
• Dalys Davenport, PHARMD

• Behavior Analyst in Moscow, ID
• Providers in Moscow, ID by specialty
• Behavior Analyst in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.