Provider Demographics
NPI:1346759610
Name:MORALES, CRISTOPHER GALVEZ (MA, BCBA)
Entity type:Individual
Prefix:
First Name:CRISTOPHER
Middle Name:GALVEZ
Last Name:MORALES
Suffix:
Gender:M
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5450 N PARAMOUNT BLVD SPC 166
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90805-5195
Mailing Address - Country:US
Mailing Address - Phone:310-892-3195
Mailing Address - Fax:
Practice Address - Street 1:357 VAN NESS WAY STE 90
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90501-1479
Practice Address - Country:US
Practice Address - Phone:310-787-9334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-29
Last Update Date:2017-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-17-26987103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst