Individual
STEPHANIE D CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3922 WISEMAN BLVD BLDG 4, SAN ANTONIO, TX 78251-1668
(210) 910-0172
Mailing address
4700 STRINGFELLOW DR APT 1502, SAN ANTONIO, TX 78223-1961
(210) 843-1254
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
374700000X
Technician
Primary
—
TX
Other
Enumeration date
07/11/2023
Last updated
12/27/2024
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