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Cecilia A De La Cruz

Behavior Analyst

Behavioral Health & Social Service Providers

13550 SW 88th St Ste 294, Miami, FL 33186-1513

PECOS Enrollment

Based on the most recent information from CMS, provider Cecilia A De La Cruz does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1356693972
Provider Type
Individual
Full Name
De La Cruz, Cecilia A
Gender
Female

Sole Proprietor
Yes
Enumeration Date
10/5/2012
Last Updated
2/3/2025

Contact Information

Practice Location

13550 SW 88th St Ste 294, Miami, FL 33186-1513

(305) 418-0608

Unlisted Fax

Mailing Location

10535 SW 124th Rd, Miami, FL 33186-3649

(305) 303-6307

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 103K00000X Primary	Description Behavior Analyst Behavioral Health & Social Service Providers	License 1-19-39910 Florida
Code 101YM0800X	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 104100000X	Description Social Worker Behavioral Health & Social Service Providers	License SW12839 Florida

Provider Identifiers

ID	Description	Issuer
ID 017509300	Description Medicaid	Issuer Unlisted Florida

Cecilia A De La Cruz

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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