Crisolo, Cedric
Crisolo, Cedric is an individual health care provider with primary practice located at 17609 Ventura Blvd St. 215, Encino CA 91316-3858. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Crisolo, Cedric can be contacted via phone (818) 501-8352.Contact Information
Primary practice address
17609 Ventura Blvd St. 215
Encino CA 91316-3858
Phone: (818) 501-8352
Fax: (818) 501-8325
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 11314656 | California |
Profile Details
| NPI number | 1053644013 |
|---|---|
| LBN Legal business name | Crisolo, Cedric |
| Credentials | M.A., BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 9th, 2009 |
| Last updated | Nov 22nd, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053644013 | NPPES |
| California | MEDICAID | 7068 | |
| California | MEDICAID | 7420 |
Popular Providers
-
Wong, Joy
16500 Ventura Blvd Ste 360 , Encino CA 91436-2016 -
Khachoyan, Ani
16200 Ventura Blvd Ste 225 , Encino CA 91436 -
Spamer, Maya
17609 Ventura Blvd Suite 215, Encino CA 91316-3858 -
Moore, Maureen Anne
17203 Ventura Blvd Suite 3, Encino CA 91316-4051 -
Hafey, Erin
16530 Ventura Blvd 510, Encino CA 91436-4554 -
Gonzalez, Benjamin
16500 Ventura Blvd , Encino CA 91436-2011 -
Lauer, Jana Marie
17203 Ventura Blvd Suite 3, Encino CA 91316-4051 -
Ganley, Jacqueline Bautista Guinto
17203 Ventura Blvd Suite 3, Encino CA 91316-4051