Individual
ANA RAQUEL CRUCETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28 ARDEN ST APT 4H, NEW YORK, NY 10040-1766
(347) 380-1745
Mailing address
28 ARDEN ST APT 4H, NEW YORK, NY 10040-1766
(347) 380-1745
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
661131121
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
230263081
TEACHER CERTIFICATION GENERAL EDUCATION 1-6
NY
01
—
661131121
TEACHER CERTIFICATION SPECIAL EDUCATION BIRTH-2
NY
Enumeration date
02/05/2013
Last updated
02/05/2013
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