Individual
MAGDELINE DE LA CRUZ LAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
5701 BAHIA DEL MAR CIR APT 401, ST PETERSBURG, FL 33715-2357
(727) 278-1171
Mailing address
5701 BAHIA DEL MAR CIR APT 401, ST PETERSBURG, FL 33715-2357
(727) 278-1171
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-19-10590
FL
Other
Enumeration date
05/01/2018
Last updated
08/14/2025
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