Individual
CECILIA A DE LA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DR. ED.D, LCSW, BCBA
Contact information
Practice address
13550 SW 88TH ST STE 294, MIAMI, FL 33186-1513
(305) 418-0608
(305) 418-0609
Mailing address
10535 SW 124TH RD, MIAMI, FL 33186-3649
(305) 418-0608
(305) 418-0609
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
1-19-39910
FL
104100000X
Social Worker
SW12839
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017509300
—
FL
Enumeration date
10/05/2012
Last updated
12/17/2025
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