De La Cruz, Mary Nancy

De La Cruz, Mary Nancy is an sole proprietor health care provider with primary practice located at 6080 Jericho Tpke Ste 200 , Commack NY 11725-2808. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. De La Cruz, Mary Nancy can be contacted via phone (631) 864-7770.

Contact Information

Primary practice address
6080 Jericho Tpke Ste 200 Commack NY 11725-2808
Phone: (631) 864-7770
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1336923747
LBN Legal business name De La Cruz, Mary Nancy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2023
Last updated Aug 24th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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