Individual
TALIA DE LA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7236 67TH PL, GLENDALE, NY 11385-6957
(929) 238-4493
Mailing address
7236 67TH PL, GLENDALE, NY 11385-6957
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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