Individual
YAIBISLEIVYS CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6642 SW 148TH AVE, MIAMI, FL 33193-2035
(786) 352-0299
(786) 352-0299
Mailing address
19063 SW 135TH AVE, MIAMI, FL 33177-7170
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/14/2017
Last updated
03/07/2023
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