Tishia Kruger
Behavior Technician in Apple Valley, CA. Individual provider (NPI-1).
NPI number1104735950
StatusActive
Last updated in NPPESSep 4, 2026
Details
- NPI
- 1104735950
- Entity type
- Individual (NPI-1)
- Name
- Tishia Kruger
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 4, 2026
- Certification date
- Sep 4, 2026
- Last updated
- Sep 4, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | CA | Yes |
Practice location
18522 Outer Hwy 18 Ste 207Apple Valley, CA 92307-2321
Phone 442-327-9172
Mailing address
14592 Foothill RdVictorville, CA 92394-6942
Phone 442-327-9172
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