Most Relevant Information
Provider Data
| NPI Number: | 1003462367 |
| Provider Name: | KASANDRA LERMA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/13/2019 |
| Last Updated: | 08/13/2019 |
Provider Practice Location
612 S MYRTLE AVE STE 100
MONROVIA
CA
910163406
Practice Location Phone/Fax
| Phone: | 9096894135 |
| Fax: |
Provider Mailing Location
494 S MACY ST SPC 159
SAN BERNARDINO
CA
924100117
Provider Mailing Phone/Fax
| Phone: | 9096761242 |
| Fax: |