Individual
JESSENIA CRUZ- GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7000 AUSTIN ST, 200, FOREST HILLS, NY 11375-1022
(718) 762-7633
(718) 886-8694
Mailing address
7000 AUSTIN ST, 200, FOREST HILLS, NY 11375-1022
(718) 762-7633
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/03/2016
Last updated
11/08/2016
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