Individual
CLAUDIA A DE LA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1630 SHASTA DR, COLORADO SPRINGS, CO 80910-1910
(719) 433-0972
Mailing address
1630 SHASTA DR, COLORADO SPRINGS, CO 80910-1910
(719) 433-0972
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-16-22513
CO
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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