Amanda Linda Cerecerez

Individual provider Active NPI Day Training/Habilitation Specialist · Long Beach, CA

NPI 1124536263 · NPPES record last updated Jun 10, 2025

Key facts

NPI
1124536263
Entity type
Individual (NPI type 1)
Primary specialty
Day Training/Habilitation Specialist 373H00000X
Practice address
3545 Long Beach Blvd
Long Beach, CA 90807-3941
Phone
(562) 490-7600
NPI assigned
Jan 10, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Childnet Youth and Family Services Inc Current
since Oct 20, 2024
Accepting new patients

Locations

3545 Long Beach Blvd
Long Beach, CA 90807
Phone (562) 498-5500

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X
Rehabilitation Practitioner 225400000X
Day Training/Habilitation Specialist 373H00000X Yes

Addresses

Primary practice location

3545 Long Beach Blvd
Long Beach, CA 90807-3941

Mailing address

3545 Long Beach Blvd
Long Beach, CA 90807-3941
Phone (562) 490-7600

Other providers in Long Beach, CA

All providers in Long Beach, CA · Day Training/Habilitation Specialist in California

Sources for this page

Verify at the official NPI Registry.