Healthcare Provider Details

I. General information

NPI: 1629756937
Provider Name (Legal Business Name): BARBARA CRUMPLER BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2023
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

409 E OAKLAND AVE
OAKLAND FL
34787-3070
US

IV. Provider business mailing address

409 E OAKLAND AVE
OAKLAND FL
34787-3070
US

V. Phone/Fax

Practice location:
  • Phone: 407-904-1600
  • Fax:
Mailing address:
  • Phone: 407-904-1600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-2831507
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: