Individual
ALEXA CAMPOS CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7297 RONSON RD STE H, SAN DIEGO, CA 92111-1428
(858) 278-6603
Mailing address
5850 GRANITE PKWY STE 600, PLANO, TX 75024-6753
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
Y8090850
CA
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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