NPI 1578034674

Andrew Crossman, BCBA

Practitioner Behavior Analyst Ammon, ID

Practice location

Address: 1560 Midway Dr, Ammon, ID 83406-6912
Phone: (208) 522-1217
Mailing address: 1570 Midway Dr, Ammon, ID 83406-6912

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1-18-32244 (ID)

Other Behavior Analyst providers in Idaho →

Registry record

NPI: 1578034674
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Dec 2018
Record last updated: 16 Dec 2018

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.