| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ELLENS BUSOT CRUZ | 1316724719 | 2023-09-11 |
Ellens Busot Cruz is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1316724719. Registration indicates Ellens Busot Cruz is a provider of services with a specialization in Behavioral Health & Social Service Providers, Assistant Behavior Analyst (Assistant Behavior Analyst, Behavioral Health & Social Service Providers) (Assistant Behavior Analyst, )
| Entity Type | Individual |
| Provider Name | Ellens Busot Cruz BCABA |
| Practice Office Address | 14194 SW 148TH CT MIAMI, FL US |
| Practice Office Telephone | 7863783254 |
| Mailing Address | 14194 SW 148TH CT MIAMI, FL 331965668 US |
| Business Telephone | 7863783254 |
| Code | Practice | License No State |
|---|---|---|
| 106E00000X PRIMARY | Behavioral Health & Social Service Providers Assistant Behavior Analyst Assistant Behavior Analyst Behavioral Health & Social Service Providers Assistant Behavior Analyst | BCABA-0-2314639
FL |
| 193400000X SING | Group Code |