Individual
AMANDA KAREN DE LA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 BALD CYPRESS DR APT 302, KISSIMMEE, FL 34744-1487
(516) 288-0314
Mailing address
501 BALD CYPRESS DR APT 302, KISSIMMEE, FL 34744-1487
(516) 288-0314
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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