Individual
BEATRIZ CASTRO DE LA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6730 W 13TH AVE, HIALEAH, FL 33012
(786) 418-7923
Mailing address
6730 W 13TH AVE, HIALEAH, FL 33012-6339
(786) 418-7923
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
FL
106E00000X
Assistant Behavior Analyst
0-19-10676
FL
106S00000X
Behavior Technician
RBT-15-04335
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018043000
—
FL
Enumeration date
06/10/2016
Last updated
11/04/2021
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