Individual
ASTRID YESEBEL LA CRUZ MONTILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3431 CHERRY AVE, LONG BEACH, CA 90807-4911
(855) 223-7123
Mailing address
16782 VON KARMAN AVE STE 11, IRVINE, CA 92606-2417
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-35443
—
Other
Enumeration date
04/09/2019
Last updated
02/01/2021
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