| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MSRIA CRISTINA LARA PADILLA | 1578220950 | 2021-11-20 |
Msria Cristina Lara Padilla is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1578220950. Registration indicates Msria Cristina Lara Padilla is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
| Entity Type | Individual |
| Provider Name | Msria Cristina Lara Padilla |
| Practice Office Address | 18726 S WESTERN AVE GARDENA, CA US |
| Practice Office Telephone | 3108562494 |
| Practice Office Fax | 8555682494 |
| Mailing Address | 18726 S WESTERN AVE GARDENA, CA 902483813 US |
| Business Telephone | 3108562494 |
| Business Fax | 8555682494 |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |