Individual
ELLENS BUSOT CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
14194 SW 148TH CT, MIAMI, FL 33196-5668
(786) 378-3254
Mailing address
14194 SW 148TH CT, MIAMI, FL 33196-5668
(786) 378-3254
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
BCABA-0-2314639
FL
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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