MEDICARE: CAMILA CRUZ ROSALES

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	106S00000X	Behavior Technician	24-375087	TX

General Provider Information

NPI Number	:	1841159605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAMILA CRUZ ROSALES

Provider Business Mailing Address
First Line	:	6777 SOMMERALL DR APT 1732
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-7015
Country	:	US
Telephone Number	:	754-736-3028
Fax Number	:

Provider Business Practice Location Address
First Line	:	6777 SOMMERALL DR APT 1732
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-7015
Country	:	US
Telephone Number	:	754-736-3028
Fax Number	:

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

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

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Directions to “ CAMILA CRUZ ROSALES ” Practice Location

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