Provider Demographics
NPI:1538923867
Name:CRAWFORD, JESSICA LEIGH (BCBA)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:LEIGH
Last Name:CRAWFORD
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 1:1351 E LOWELL AVE
Mailing Address - Street 2:
Mailing Address - City:CAVE SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72718-8415
Mailing Address - Country:US
Mailing Address - Phone:479-480-8509
Mailing Address - Fax:479-282-1295
Practice Address - Street 1:1351 E LOWELL AVE
Practice Address - Street 2:
Practice Address - City:CAVE SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72718-8415
Practice Address - Country:US
Practice Address - Phone:479-480-8509
Practice Address - Fax:479-282-1295
Is Sole Proprietor?:No
Enumeration Date:2024-02-07
Last Update Date:2025-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1-25-79104103K00000X
AR106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician