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NPI Code Detail

MEDICARE: MORITZA DAWN CRUZ-BROOKSHER

MEDICARE: MORITZA DAWN CRUZ-BROOKSHER
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
1171M00000XCase Manager/Care Coordinator
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1942016811
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORITZA DAWN CRUZ-BROOKSHER
Provider Business Mailing Address
First Line : 2805 ALMA HWY
Second Line :
City : VAN BUREN
State : AR
Zip : 72956-5021
Country : US
Telephone Number : 479-471-9600
Fax Number :
Provider Business Practice Location Address
First Line : 2805 ALMA HWY
Second Line :
City : VAN BUREN
State : AR
Zip : 72956-5021
Country : US
Telephone Number : 479-471-9600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2024
Last Update Date : 03/02/2026

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Directions to “ MORITZA DAWN CRUZ-BROOKSHER ” Practice Location

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