Mabel De La Cruz
Behavior Technician in Miami, FL. Individual provider (NPI-1).
NPI number1629795331
StatusActive
Last updated in NPPESOct 24, 2022
Details
- NPI
- 1629795331
- Entity type
- Individual (NPI-1)
- Name
- Mabel De La Cruz
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 24, 2022
- Certification date
- Oct 24, 2022
- Last updated
- Oct 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | 21-152391 | FL | Yes |
Practice location
3422 Sw 112th AveMiami, FL 33165-3453
Phone 786-291-6903
Mailing address
3422 Sw 112th AveMiami, FL 33165-3453
Phone 786-291-6903
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