Provider Demographics
NPI:1093124877
Name:CRAWFORD, BERIT (BCBA)
Entity Type:Individual
Prefix:
First Name:BERIT
Middle Name:
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:BERIT
Other - Middle Name:
Other - Last Name:BARR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA
Mailing Address - Street 1:1004 HICKORY HILL LN
Mailing Address - Street 2:SUITE 2
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-1930
Mailing Address - Country:US
Mailing Address - Phone:615-902-0950
Mailing Address - Fax:
Practice Address - Street 1:3925 MIDLANDS RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23188-2575
Practice Address - Country:US
Practice Address - Phone:757-585-3216
Practice Address - Fax:757-561-2541
Is Sole Proprietor?:No
Enumeration Date:2014-08-06
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0133000544103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst