Provider Demographics
NPI:1205711645
Name:LOPEZ CRUZ, SINDYA KEYLAN
Entity type:Individual
Prefix:
First Name:SINDYA
Middle Name:KEYLAN
Last Name:LOPEZ CRUZ
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:375 CONESTOGA WAY UNIT 2922
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89002-1102
Mailing Address - Country:US
Mailing Address - Phone:561-692-1785
Mailing Address - Fax:
Practice Address - Street 1:375 CONESTOGA WAY UNIT 2922
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89002-1102
Practice Address - Country:US
Practice Address - Phone:561-692-1785
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician