Danetta Crusoe

NPI #1760947691 in Melrose Park, Illinois

Provider Information

NPI Number: 1760947691
Entity Type: Individual
Name: Danetta Crusoe
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 5, 2019
Last Updated: Feb 5, 2019

Practice Location

Address: 1414 MAIN ST
City: Melrose Park
State: Illinois
ZIP Code: 60160-3902
Phone: (708) 681-0073

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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