Individual
LUIS A CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2420 HUNTER AVE APT 15A, BRONX, NY 10475-5637
(929) 331-9692
Mailing address
2420 HUNTER AVE APT 15A, BRONX, NY 10475-5637
(929) 331-9692
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
002500-01
NY
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
04/07/2021
Last updated
05/25/2023
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