JAN ERICSON CRUZ

STATEN ISLAND, NY
NPI1104237627
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103K00000X Behavior Analyst
(Licence: NY  1-12-10214)
Enumeration Date2014-05-19
Last Update Date2014-05-29
Business Address
Mr. JAN ERICSON CRUZ
150 GRANITE AVE
STATEN ISLAND, NY 10303-2718
Phone number: 718-816-1422
Mailing Address
Mr. JAN ERICSON CRUZ
150 GRANITE AVE
STATEN ISLAND, NY 10303-2718
Phone number: 718-816-1422
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