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Lysander Cerrudo
Student in an Organized Health Care Education/Training Program in Hemet, California
NPI 1245724194

Lysander Cerrudo is a Student in an Organized Health Care Education/Training Program based in Hemet, CA. Lysander Cerrudo practices in Hemet, CA. The NPI Number for Lysander Cerrudo is 1245724194 and holds a License No. (California).

The current practice location address for Lysander Cerrudo is 1105 E Florida Ave, Hemet, CA and can be reached out via phone at 951-439-2939.

Location: 1105 E Florida Ave, Hemet, CA, 92543-4512
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245724194
Provider Name
Lysander Cerrudo
Credential
Provider Entity Type
Individual
Gender
Male
Address
1105 E Florida Ave, Hemet, CA, 92543-4512
Phone Number
951-439-2939
Fax Number
Provider Enumeration Date
06/14/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1105 E Florida Ave
City
Hemet
State
California
Zip
92543-4512
Phone Number
951-439-2939
Fax Number
person
Provider Business Mailing Address Details
Address
1105 E Florida Ave
City
Hemet
State
California
Zip
92543-4512
Phone Number
951-439-2939
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Behavior Technician
Speciality
-
Taxonomy
106S00000X
License No.
F2812243 (California)
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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