Individual
ANNA CRUISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
5950 HARBOUR PARK DR, MIDLOTHIAN, VA 23112-2163
(804) 293-8055
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000846
VA
Other
Enumeration date
10/25/2016
Last updated
08/24/2018
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