Individual
AMANDA DE LA PAZ CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6383 10TH AVE N STE E, GREENACRES, FL 33463-1689
(561) 429-5794
Mailing address
416 POPLAR AVE, PORT SAINT LUCIE, FL 34952-1352
(772) 281-7417
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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