Lydia R Cruz
Individual provider Active NPI Behavior Technician · Kerman, CA
NPI 1306528443 · NPPES record last updated Aug 7, 2023
Key facts
- NPI
- 1306528443
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 150 S 1St St Apt 166
Kerman, CA 93630-1046 - Phone
- (559) 755-3360
- NPI assigned
- Aug 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
150 S 1St St Apt 166
Kerman, CA 93630-1046
Mailing address
7339 N 1St St
Fresno, CA 93720-2954
Other providers in Kerman, CA
- Scott Catone
- Kemberly Celaya Arellano
- Chris Fisher OD Inc
- Carmen Cordoba
- Julie Coulourianos
- Liliana Culberson
- Glenda Curbow
- CVS/Caremark
- Angela Davis
- Kyle Davis
All providers in Kerman, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.