Individual
IVAN GALEANA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBAI
Contact information
Practice address
8019 NE 13TH AVE, VANCOUVER, WA 98665-9604
(360) 984-3131
Mailing address
8019 NE 13TH AVE, VANCOUVER, WA 98665-9604
(360) 984-3131
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
IN-10216869
OR
Other
Enumeration date
12/21/2021
Last updated
07/10/2024
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