Individual provider Active NPI

Gleyvis Perez Cruz

  • Behavior Technician
  • Fort Myers, FL
National Provider Identifier
1093694002
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-25-430095 Issued in FL
Practice address
3615 Crestwood Lake Ave Apt 304
Fort Myers, FL 33901-8445
Phone
(239) 295-4400
NPI assigned
Sep 2, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-25-430095 FL Primary

Addresses

Primary practice location

3615 Crestwood Lake Ave Apt 304
Fort Myers, FL 33901-8445

Mailing address

3615 Crestwood Lake Ave Apt 304
Fort Myers, FL 33901-8445
Phone (239) 295-4400

Other practice location 1

1408 SE 17th Ave Ste E
Cape Coral, FL 33990-3801
Phone (239) 205-6766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RBT-25-430095FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1756771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1093694002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 CRESTWOOD LAKE AVE APT 304",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018445",
            "telephone_number": "239-295-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 CRESTWOOD LAKE AVE APT 304",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018445",
            "telephone_number": "239-295-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1408 SE 17th Ave Ste E",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339903801",
            "country_code": "US",
            "telephone_number": "239-205-6766",
            "fax_number": "239-205-6852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ CRUZ",
        "first_name": "GLEYVIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-02",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-25-430095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.