Individual
CATHY BASILIA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 W WALNUT ST STE 375110, PASADENA, CA 91103-3697
(626) 395-7100
Mailing address
21515 HAWTHORNE BLVD, TORRANCE, CA 90503-6501
(424) 571-2618
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
CA
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
12/13/2019
Last updated
11/17/2025
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