(800) 868-1923

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