Provider Demographics
NPI:1972264885
Name:DELA CRUZ, ARIANA JANELLE
Entity Type:Individual
Prefix:
First Name:ARIANA
Middle Name:JANELLE
Last Name:DELA CRUZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ARIANA
Other - Middle Name:JANELLE
Other - Last Name:PENA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:29713 SERENITY LN
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-5866
Mailing Address - Country:US
Mailing Address - Phone:951-609-5752
Mailing Address - Fax:
Practice Address - Street 1:29713 SERENITY LN
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-5866
Practice Address - Country:US
Practice Address - Phone:951-609-5752
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-03
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician