CHANEL ANTENORCRUZ ACOSTA
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1821673997- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 39210 STATE ST STE 204, FREMONT, CA, 945381456
- Phone
- (510) 894-4135
Specialties & Taxonomies
Behavior Technician
Primary License: CA #46-1305562