Tamara Cruz
Individual provider Active NPI Behavior Technician · Pacific Junction, IA
NPI 1033904115 · NPPES record last updated Apr 10, 2025
Key facts
- NPI
- 1033904115
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 55620 202ND St
Pacific Junction, IA 51561-4262 - Phone
- (712) 308-0949
- NPI assigned
- Apr 10, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
55620 202ND St
Pacific Junction, IA 51561-4262
Mailing address
1649 61St St FL 3013
Brooklyn, NY 11204-2110
Other providers in Pacific Junction, IA
- City of Pacific Junction
- Angelica Cusay
- Emotional Balance, LLC
- Five Star Quality Care-Ia, LLC
- Ninkpibe Kezia Gnofam
- Crystal Dell Morton
All providers in Pacific Junction, IA · Behavior Technician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.