Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | FL | |
N | 106E00000X | Assistant Behavior Analyst | 0-19-10676 | FL |
N | 106S00000X | Behavior Technician | RBT-15-04335 |
NPI | 1083063937 |
---|---|
Provider Name | Beatriz Castro De La Cruz |
First Address | Hialeah, FL 33012-6339 |
Second Address | Hialeah, FL 33012 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2016 |
Last Update Date | 04/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
018043000 | (05) | FL |