Samantha Cruz
Behavior Technician in Rancho Cucamonga, CA. Individual provider (NPI-1).
NPI number1104799634
StatusActive
Last updated in NPPESSep 29, 2025
Details
- NPI
- 1104799634
- Entity type
- Individual (NPI-1)
- Name
- Samantha Cruz
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 29, 2025
- Certification date
- Sep 29, 2025
- Last updated
- Sep 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
11799 Sebastian Way Ste 103Rancho Cucamonga, CA 91730-0708
Phone 951-420-7130
Mailing address
52997 Adam LnCoachella, CA 92236-4001
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