Individual
MS. THERESA ANN CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
13950 MILTON AVE STE 200B, WESTMINSTER, CA 92683-2939
(855) 832-6727
(772) 675-9100
Mailing address
333 ESTUDILLO AVE, SAN LEANDRO, CA 94577-4717
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-16-7055
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-16-7055
BCABA
CA
Enumeration date
06/13/2016
Last updated
12/28/2020
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