Wellformed AI

NPI 1144074196 · live from the CMS NPI Registry

Taylor Jade Grider Crowley, LMSW, BCBA

Behavior Analyst in Coralville, IA. National Provider Identifier 1144074196, active.

NPI record

NPI1144074196 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location2205 E Grantview Dr, Coralville, IA 52241
Practice phone319-294-9609
Mailing address507 10th Ave, Coralville, IA 52241
EnumeratedApril 16, 2024
Last updatedApril 18, 2024
Sole proprietorNo
Other namesTaylor Grider

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X1-24-72397 (CO)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.