MEDICARE: ALMA DANIELA CERRATO-LOPEZ BCBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	1-23-65035	CA

General Provider Information

NPI Number	:	1679010219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALMA DANIELA CERRATO-LOPEZ BCBA

Provider Business Mailing Address
First Line	:	27370 6TH ST
Second Line	:
City	:	HIGHLAND
State	:	CA
Zip	:	92346-4302
Country	:	US
Telephone Number	:	909-244-8550
Fax Number	:	833-485-4692

Provider Business Practice Location Address
First Line	:	27370 6TH ST
Second Line	:
City	:	HIGHLAND
State	:	CA
Zip	:	92346-4302
Country	:	US
Telephone Number	:	909-244-8550
Fax Number	:	833-485-4692

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2017
Last Update Date	:	03/09/2026

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