Individual
GENESIS C CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 W TEMPLE ST, LOS ANGELES, CA 90026-4915
(213) 385-5100
Mailing address
2121 W TEMPLE ST, LOS ANGELES, CA 90026-4915
(213) 385-5100
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/20/2022
Last updated
08/16/2024
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