Individual
ANA CRUELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1635 W 44TH PL, APT 203, HIALEAH, FL 33012-8408
(786) 863-1361
Mailing address
4390 W 12TH LN APT 4, HIALEAH, FL 33012-5998
(786) 863-1361
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
247200000X
Other Technician
Primary
RBT-15-05879
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-15-05879
REGISTERED BEHAVIOR TECHNICIAN
FL
Enumeration date
05/27/2016
Last updated
09/21/2021
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