Individual
BREANNA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1016 W JACKSON BLVD, CHICAGO, IL 60607-2914
(773) 680-8387
Mailing address
1016 W JACKSON BLVD, CHICAGO, IL 60607-2914
(773) 680-8387
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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