Individual
AMANDA MICHELLE CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 W DUNLAP AVE STE 100, PHOENIX, AZ 85021-2813
(602) 323-2485
Mailing address
2150 W ALAMEDA RD UNIT 1186, PHOENIX, AZ 85085-1952
(760) 562-1867
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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