Henry Cracknell

NPI #1164170676 in Lake Forest, California

Provider Information

NPI Number: 1164170676
Entity Type: Individual
Name: Henry Cracknell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 14, 2022
Last Updated: Mar 14, 2022

Practice Location

Address: 23701 BIRTCHER DR
City: Lake Forest
State: California
ZIP Code: 92630-1772
Phone: (855) 581-0100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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