Most Relevant Information
Provider Data
| NPI Number: | 1003553611 |
| Provider Name: | LUCIA FRUTOS |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/16/2022 |
| Last Updated: | 05/16/2022 |
Provider Practice Location
2168 W CERRITOS AVE
ANAHEIM
CA
928046071
Practice Location Phone/Fax
| Phone: | 7146507552 |
| Fax: |
Provider Mailing Location
2168 W CERRITOS AVE
ANAHEIM
CA
928046071
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |