Shawntelle Lynne Cruz
NPI #1578360889 in Columbia Heights, Minnesota
Provider Information
- NPI Number
- 1578360889
- Entity Type
- Individual
- Name
- Shawntelle Lynne Cruz
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Feb 26, 2025
- Last Updated
- Feb 26, 2025
Practice Location
- Address
- 4041 CENTRAL AVE NE
- City
- Columbia Heights
- State
- Minnesota
- ZIP Code
- 55421-2900
- Phone
- (612) 712-1919
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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