Deasia Crocton

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

22249250 Issued in AL

Practice address

6125 University Dr NW
Huntsville, AL 35806-1757

Phone

(256) 558-2010

NPI assigned

Jan 10, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1942914494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 CEDAR ST SW",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356015733",
            "telephone_number": "256-438-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6125 UNIVERSITY DR NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358061757",
            "telephone_number": "256-558-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCTON",
        "first_name": "DEASIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AL",
            "license": "22249250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22249250",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "wsilearningcenter@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6125 University Dr NW",
            "city": "Huntsville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "358061757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Crisler Psychology
• Megan Crisler, PH.D.
• Frank J Crisona Jr., MD
• Critical Care Pediatrics
• Suzanne E Crocker, CRNP
• Charles Daniel Crosby, PH.D.
• Emily A Crosby, CRNP
• Jessica Cross
• Jennessa G Crosswy, ALC
• Adrea Marie Crouch

• Behavior Technician in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Behavior Technician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.