Ileana Cruz

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-19-97123 Issued in FL

Practice address

8390 Champions Gate Blvd Ste 110
Champions Gate, FL 33896-8311

Phone

(407) 743-0723

NPI assigned

Dec 17, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Good Shepherd Catholic School at Mercy

  • Behavior Analyst
  • Oklahoma City, OK
  • NPI 1033463773
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1023656337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 MAITLAND CENTER PKWY STE 240",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517415",
            "telephone_number": "407-574-6568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8390 CHAMPIONS GATE BLVD STE 110",
            "city": "CHAMPIONS GATE",
            "state": "FL",
            "postal_code": "338968311",
            "telephone_number": "407-743-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "ILEANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-17",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OK",
            "license": "19-97123",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-19-97123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comfortable Care Dental Health Professionals, P.a.
• Amanda Coppola
• Corcoba Family Health Care
• Yescenia Correa, RBT
• Frainelys Cruz Montanez, NP
• Matthew Norman Curby
• Patricia Gaspar Danaga, PT
• Lindsey R Day, M.S.
• Jzely Ivedith De Jesus Hernandez I
• Tyarika Doby

• Behavior Technician in Champions Gate, FL
• Providers in Champions Gate, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.