Healthcare Provider Details

I. General information

NPI: 1508224122
Provider Name (Legal Business Name): LAUREEN KRIS CRUZ AGUINALDO BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2016
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 CONCORD AVE STE 185
CONCORD CA
94520-5006
US

IV. Provider business mailing address

21600 OXNARD ST. SUITE 1800
WOODLAND HILLS CA
91367
US

V. Phone/Fax

Practice location:
  • Phone: 510-268-8120
  • Fax:
Mailing address:
  • Phone: 818-345-2345
  • Fax: 818-449-0994

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number5894
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: