Individual
ADA C CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 MARGARITA CIR, LOS LUNAS, NM 87031-5916
(505) 414-8111
Mailing address
1312 MONTARA DR NW, LOS LUNAS, NM 87031-8350
(505) 414-8111
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/09/2018
Last updated
08/31/2023
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