Individual
AILEN CRUZ MUNOZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8740 SW 20TH TER, MIAMI, FL 33165-8208
(786) 518-9684
Mailing address
8740 SW 20TH TER, MIAMI, FL 33165-8208
(786) 518-9684
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-263608
FL
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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