Individual
AVIANCE ENJOLI SOPHIA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 W 121ST ST APT 5B, NEW YORK, NY 10027-6282
(347) 981-5515
Mailing address
225 W 121ST ST APT 5B, NEW YORK, NY 10027-6282
(347) 981-5515
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0911661
NY
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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