Individual
JASON CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5137 S TALMAN AVE, CHICAGO, IL 60632-1546
(773) 387-3387
Mailing address
5137 S TALMAN AVE, CHICAGO, IL 60632-1546
(773) 387-3387
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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