Individual
AIRAM DE LA CRUZ AVILA-BASTIDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31889 CALLE LUZ, TEMECULA, CA 92592-3926
(855) 832-6727
Mailing address
4575 SE DIXIE HWY, STUART, FL 34997-6826
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/30/2020
Last updated
10/07/2020
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