Individual provider · Type 1 NPI

Cassey Cruz

Student in an Organized Health Care Education/Training Program · Pasadena, CA

NPI number 1760159404 Active

Practice location

225 S Lake Ave Ste 300
Pasadena, CA 91101-3009

Fax (323) 544-6475

Mailing address

8427 Tampa Ave
Northridge, CA 91324-4257

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1760159404

Cassey Cruz's National Provider Identifier is 1760159404, issued on Aug 29, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pasadena, CA. The record was last updated on Jul 31, 2023.