Individual
KEVIN CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSED
Contact information
Practice address
2200 CEDAR AVE APT 1, BRONX, NY 10468-5521
(917) 374-2112
Mailing address
2200 CEDAR AVE APT 1, BRONX, NY 10468-5521
(917) 374-2112
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1909102251
NY
Other
Enumeration date
06/14/2025
Last updated
06/14/2025
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