Provider Demographics
NPI:1558014555
Name:CRAWFORD, BRIANNA MARIE (RBT)
Entity Type:Individual
Prefix:
First Name:BRIANNA
Middle Name:MARIE
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:BRIANNA
Other - Middle Name:M
Other - Last Name:CRAWFORD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RBT
Mailing Address - Street 1:2314 6TH AVE SE STE D
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-6565
Mailing Address - Country:US
Mailing Address - Phone:256-686-3169
Mailing Address - Fax:800-607-1947
Practice Address - Street 1:2314 6TH AVE SE STE D
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-6565
Practice Address - Country:US
Practice Address - Phone:256-686-3169
Practice Address - Fax:800-607-1947
Is Sole Proprietor?:No
Enumeration Date:2022-01-31
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALRBT-22-201531106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician