Healthcare Provider Details

I. General information

NPI: 1891659934
Provider Name (Legal Business Name): ZAYLA M CRAWFORD I
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8399 DUNWOODY PL STE 5
ATLANTA GA
30350-3438
US

IV. Provider business mailing address

7 EXECUTIVE PARK DR NE
ATLANTA GA
30329-2250
US

V. Phone/Fax

Practice location:
  • Phone: 888-880-9270
  • Fax:
Mailing address:
  • Phone: 470-736-0600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: