Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CEDRIC CRISOLO, M.A., BCBA
ActiveCEDRIC CRISOLO, M.A., BCBA is a Behavior Analyst healthcare provider located in ENCINO, California. NPI 1053644013 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · ENCINO, CA
Registration Details
- NPI Number
- 1053644013
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 9, 2009 (16.889351309693 yrs)
- Last Updated
- Nov 22, 2013
- License
-
11314656 (CA)
Practice Information
- Address
-
17609 VENTURA BLVDST. 215ENCINO, CA, 913163858Browse CA providers · Browse ZIP 91316
- Phone
- 8185018352
- Fax
- 8185018325
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in ENCINO, CA
| Name | Credential | NPI |
|---|---|---|
| MAYA SPAMER | MS, BCBA | 1386933141 |
| MR. JOHN-PAUL AGUSTIN PRAKASH | BCBA | 1164712188 |
| REBECCA VOGEL | REBECCA VOGEL | 1770875312 |
| JOY WONG | BCBA | 1194007054 |
| MRS. ERIN HAFEY | MA | 1366729469 |
| ANI KHACHOYAN | BCBA | 1922385467 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.