Individual
MRS. MARIA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
34 W 139TH ST, NEW YORK, NY 10037-1508
(212) 690-7234
Mailing address
34 W 139TH ST, NEW YORK, NY 10037-1508
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
103142
NY
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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