Individual
MARGUERITA LA CRUZ-PRADEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 SOUTHWIND DR., BRANDON, FL 33510
(813) 732-0170
Mailing address
1720 SOUTHWIND DR, BRANDON, FL 33510-2049
(813) 732-0170
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
222Q00000X
Developmental Therapist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/29/2016
Last updated
04/12/2022
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