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NPI Code Detail

MEDICARE: RACHEL CRUZ

MEDICARE:   RACHEL  CRUZ
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1881198836
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL CRUZ
Provider Business Mailing Address
First Line : 21600 OXNARD ST STE 1800
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-7807
Country : US
Telephone Number : 818-345-2345
Fax Number :
Provider Business Practice Location Address
First Line : 12740 BANDERA RD
Second Line :
City : HELOTES
State : TX
Zip : 78023-4327
Country : US
Telephone Number : 210-321-9275
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2018
Last Update Date : 03/22/2018

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Directions to “ RACHEL CRUZ ” Practice Location

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