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Individual
MS. THERESA ANN CRUZ
Active
Individual
MS. THERESA ANN CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-16-7055
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-16-7055
BCABA
CA
Enumeration date
06/13/2016
Last updated
12/28/2020
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