NPI 1003375619

Angela Kallio-Crotteau

Practitioner Behavior Technician Richmond Hill, GA

Practice location

Address: 10 Long Creek Ln, Richmond Hill, GA 31324-8601
Phone: (904) 638-6388
Mailing address: 130 Corridor Rd Unit 3292, Ponte Vedra Beach, FL 32004-7833

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-19-81230 (GA)

Other Behavior Technician providers in Georgia →

Registry record

NPI: 1003375619
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Mar 2019
Record last updated: 15 Mar 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.