Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician | FL |
NPI | 1003307331 |
---|---|
Provider Name | Hany Laura Cruz Ojeda |
First Address | Orlando, FL 32822-6804 |
Second Address | Orlando, FL 32822-6804 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2018 |
Last Update Date | 22/05/2018 |