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Individual

KING CRUZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3642 MOONLIT BEACH AVE, LAS VEGAS, NV 89115-1286
(786) 972-7004
Mailing address
3642 MOONLIT BEACH AVE, LAS VEGAS, NV 89115-1286
(786) 972-7004

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
05/07/2019
Last updated
06/01/2021
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Product
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  • EDI platform