Individual
KAILA XIMENA THATCHER CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 E NICOLLET BLVD STE 100, BURNSVILLE, MN 55337-6734
(612) 474-3578
Mailing address
625 E NICOLLET BLVD STE 100, BURNSVILLE, MN 55337-6734
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/02/2018
Last updated
06/15/2026
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