Mara Judith Crocker
Mara Judith Crocker is a Behavior Technician in Kennesaw, Georgia. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
2986 Carrie Dr NWKennesaw, GA 30144-2818
Phone: (678) 698-1611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1013643527 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 27, 2022 |
| Last updated in NPPES | July 27, 2022 |
| Certification date | July 27, 2022 |
| Mailing address | 2986 Carrie Dr Nw, Kennesaw, GA 30144-2818 |
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