Individual
DEANNA CERVANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 LAUREL ST, LA PORTE, IN 46350-2657
(219) 575-5909
Mailing address
113 LAUREL ST, LA PORTE, IN 46350-2657
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/26/2025
Last updated
12/26/2025
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