Individual
JENNA LYNNE ARELLANO CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1290 TAVERN RD, MAMMOTH LAKES, CA 93546-6601
(760) 924-1740
Mailing address
PO BOX 2619, MAMMOTH LAKES, CA 93546-2619
(760) 924-1740
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-22-57762
CA
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/16/2018
Last updated
12/12/2023
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