Most Relevant Information
Provider Data
| NPI Number: | 1003684077 |
| Provider Name: | SHIRLEY CRUZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/19/2023 |
| Last Updated: | 12/19/2023 |
Provider Practice Location
2550 INTERSTATE DR STE 201
HARRISBURG
PA
171109614
Practice Location Phone/Fax
| Phone: | 7174619018 |
| Fax: |
Provider Mailing Location
9 BANKS AVE
MCADOO
PA
182372508
Provider Mailing Phone/Fax
| Phone: | 5703169614 |
| Fax: |