Most Relevant Information
Provider Data
| NPI Number: | 1003672643 |
| Provider Name: | JEANNETTE DE LA CRUZ GARCIA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/22/2024 |
| Last Updated: | 03/01/2024 |
Provider Practice Location
4849 LONE TREE WAY
ANTIOCH
CA
945318644
Practice Location Phone/Fax
| Phone: | 9254622281 |
| Fax: |
Provider Mailing Location
300 INTERNATIONAL PKWY STE 200
LAKE MARY
FL
327463625
Provider Mailing Phone/Fax
| Phone: | 8666100580 |
| Fax: |