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NPI Code Detail

MEDICARE: EMILY CRUZ RBT

MEDICARE: EMILY CRUZ RBT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1861239758
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY CRUZ RBT
Provider Business Mailing Address
First Line : 8910 BROOKWULF DR
Second Line :
City : HOUSTON
State : TX
Zip : 77099-1240
Country : US
Telephone Number : 832-614-2581
Fax Number :
Provider Business Practice Location Address
First Line : 1175 ADKINS RD
Second Line :
City : HOUSTON
State : TX
Zip : 77055-7413
Country : US
Telephone Number : 210-415-9626
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2024
Last Update Date : 07/09/2024

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Directions to “ EMILY CRUZ RBT” Practice Location

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