Martha Antina Crockett
Martha Antina Crockett is a Behavior Technician in Chicago, Illinois. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
2736 N Leclaire Ave Apt 1Chicago, IL 60639-1627
Phone: (773) 441-5125
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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 | 1861025769 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 19, 2020 |
| Last updated in NPPES | February 20, 2020 |
| Certification date | February 20, 2020 |
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