Individual
ANTONIO DE LA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10327 W 84TH TER, LENEXA, KS 66214-1639
(785) 256-9096
Mailing address
10327 W 84TH TER, LENEXA, KS 66214-1639
(785) 256-9096
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/29/2022
Last updated
12/08/2023
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