Individual
STEPHANIE ANNALISA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
512 CEDAR ST, JOURDANTON, TX 78026-2719
(830) 480-2707
Mailing address
512 CEDAR ST, JOURDANTON, TX 78026-2719
(830) 480-2707
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
TX
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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