Healthcare Provider Details

I. General information

NPI: 1770939480
Provider Name (Legal Business Name): HOLLY CRABTREE BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2016
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 COLDSPRINGS DR
HARVEST AL
35749-8295
US

IV. Provider business mailing address

225 COLDSPRINGS DR
HARVEST AL
35749-8295
US

V. Phone/Fax

Practice location:
  • Phone: 256-527-4832
  • Fax:
Mailing address:
  • Phone: 256-527-4832
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-23-65337
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: