Most Relevant Information
Provider Data
NPI Number: | 1003543281 |
Provider Name: | CRYSTAL CERVANTES |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: |
Most Important Dates
Enumeration Date: | 08/06/2022 |
Last Updated: | 08/06/2022 |
Provider Practice Location
21 RANCHO CAMINO DR STE 108
POMONA
CA
917667020
Practice Location Phone/Fax
Phone: | 8552237123 |
Fax: |
Provider Mailing Location
16782 VON KARMAN AVE STE 11
IRVINE
CA
926062417
Provider Mailing Phone/Fax
Phone: | 8552237123 |
Fax: | 6193747134 |