Ileana Cruz
Behavior Technician in Champions Gate, FL. Individual provider (NPI-1).
NPI number1023656337
StatusActive
Last updated in NPPESMar 21, 2022
Details
- NPI
- 1023656337
- Entity type
- Individual (NPI-1)
- Name
- Ileana Cruz
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 17, 2019
- Certification date
- Mar 21, 2022
- Last updated
- Mar 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-19-97123 | FL | Yes |
| 106S00000X | Behavior Technician | 19-97123 | OK |
Practice location
8390 Champions Gate Blvd Ste 110Champions Gate, FL 33896-8311
Phone 407-743-0723
Mailing address
2301 Maitland Center Pkwy Ste 240Maitland, FL 32751-7415
Phone 407-574-6568
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All 99 Behavior Technician providers in Champions Gate · All 161 providers in Champions Gate
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