Individual
AMIR ALI CRUZ-KHALILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
1769 PARK AVE STE 250, SAN JOSE, CA 95126-2030
(866) 375-2437
(408) 287-2690
Mailing address
1769 PARK AVE STE 250, SAN JOSE, CA 95126-2030
(866) 375-2437
(408) 287-2690
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
17-1885-061669
CA
Other
Enumeration date
05/17/2013
Last updated
03/29/2017
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