Crocker, Angela

Crocker, Angela is an individual health care provider with primary practice located at 4061 Suzanne Dr # C , Diberville MS 39540-3735. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Crocker, Angela can be contacted via phone (228) 396-4434.

Contact Information

Primary practice address
4061 Suzanne Dr # C Diberville MS 39540-3735
Phone: (228) 396-4434
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-18-68941 Mississippi

Profile Details

NPI number 1255983268
LBN Legal business name Crocker, Angela
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2019
Last updated Dec 1st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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