Luisa Grace Barrios Crockett

NPI #1063008019 in Lafayette, California

Provider Information

NPI Number: 1063008019
Entity Type: Individual
Name: Luisa Grace Barrios Crockett
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Dec 14, 2020
Last Updated: Dec 14, 2020

Practice Location

Address: 3650 MT DIABLO BLVD STE 107
City: Lafayette
State: California
ZIP Code: 94549-3768
Phone: (866) 523-4268

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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