Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crystal Cannon

Individual provider Behavior Technician · NPI 1972255644

Crystal Cannon is a Behavior Technician in Dearborn, Michigan. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

1360 Porter St
Dearborn, MI 48124-2890
Phone: (313) 689-5188
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1972255644
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 24, 2022
Last updated in NPPESOctober 16, 2024
Certification dateOctober 16, 2024
Mailing address1709 Spielbusch Ave Ste 107, Toledo, OH 43604-5372

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