Kevyn Pedro Cruz
Individual provider Active NPI Behavior Analyst · Arleta, CA
NPI 1568833366 · NPPES record last updated Oct 19, 2015
Key facts
- NPI
- 1568833366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 9334 Urbana Ave
Arleta, CA 91331-5541 - Phone
- (818) 523-2723
- NPI assigned
- Oct 19, 2015
- Sex
- Male
- 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 Analyst | 103K00000X | Yes |
Addresses
Primary practice location
9334 Urbana Ave
Arleta, CA 91331-5541
Mailing address
9334 Urbana Ave
Arleta, CA 91331-5541
Phone (818) 523-2723
Other providers in Arleta, CA
- Comprehensive Community Health Centers, Inc
- Coppelson Director Dental Partnership
- Cor Hospice Inc.
- Marisela Vivas Cossette
- Counseling4Kids, Inc.
- Yajaira Erlinda Cruz
- Angie De Jesus
- Jason De Luna
- Deanna Antoinette Ductoc
- El Proyecto del Barrio, Inc.
All providers in Arleta, CA · Behavior Analyst in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2015. 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.