Most Relevant Information
Provider Data
| NPI Number: | 1003541269 |
| Provider Name: | MELANNY GUADALUPE CERDA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | 00017384 |
Most Important Dates
| Enumeration Date: | 07/21/2022 |
| Last Updated: | 08/12/2022 |
Provider Practice Location
115 KOHLERS XING STE 240-250
KYLE
TX
786402460
Practice Location Phone/Fax
| Phone: | 7378432058 |
| Fax: |
Provider Mailing Location
21600 OXNARD ST STE 1800
WOODLAND HILLS
CA
913677807
Provider Mailing Phone/Fax
| Phone: | 8183452345 |
| Fax: |