Individual
GERALDINE CRUZ CEBALLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
401 S AIRPORT WAY, MANTECA, CA 95337-8426
(209) 456-5805
Mailing address
401 S AIRPORT WAY, MANTECA, CA 95337-8426
(209) 456-5805
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
21477
CA
103K00000X
Behavior Analyst
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
09/22/2018
Last updated
01/25/2026
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