Mary Nancy De La Cruz
Behavior Technician in Commack, NY. Individual provider (NPI-1).
NPI number1336923747
StatusActive
Last updated in NPPESAug 24, 2023
Details
- NPI
- 1336923747
- Entity type
- Individual (NPI-1)
- Name
- Mary Nancy De La Cruz
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 24, 2023
- Certification date
- Aug 24, 2023
- Last updated
- Aug 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
| 106E00000X | Assistant Behavior Analyst | – | – |
Practice location
6080 Jericho Tpke Ste 200Commack, NY 11725-2808
Phone 631-864-7770
Mailing address
59 S Centre Ave Apt 3dRockville Centre, NY 11570-5756
Phone 516-840-1589
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Other Behavior Technician providers in Commack, NY
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All 9 Behavior Technician providers in Commack · All 1,683 providers in Commack
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