Individual
ANA TERESA CRUZ GALLARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6015 N CLARK AVE, TAMPA, FL 33614-5513
(813) 441-2579
Mailing address
6015 N CLARK AVE, TAMPA, FL 33614-5513
(813) 441-2579
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-282304
FL
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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