Leslie Cruz
Behavior Technician in Baltimore, MD. Individual provider (NPI-1).
NPI number1083171557
StatusActive
Last updated in NPPESFeb 21, 2019
Details
- NPI
- 1083171557
- Entity type
- Individual (NPI-1)
- Name
- Leslie Cruz
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 21, 2019
- Last updated
- Feb 21, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
206 S Washington StBaltimore, MD 21231-2619
Phone 312-914-0611 · Fax 312-914-0611
Mailing address
306 N Kensington AveLa Grange Park, IL 60526-1870
Phone 312-914-0611 · Fax 312-929-0324
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