Provider Demographics
NPI:1063750875
Name:MCCROW, MARGUERITE (BCBA)
Entity type:Individual
Prefix:
First Name:MARGUERITE
Middle Name:
Last Name:MCCROW
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 PARKCENTER DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-3526
Mailing Address - Country:US
Mailing Address - Phone:949-705-9325
Mailing Address - Fax:949-606-7089
Practice Address - Street 1:801 PARKCENTER DR
Practice Address - Street 2:SUITE 100
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-3526
Practice Address - Country:US
Practice Address - Phone:949-705-9325
Practice Address - Fax:949-606-7089
Is Sole Proprietor?:No
Enumeration Date:2013-01-29
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-11-9063103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst