Active NPI
Teresa Cruz
- Behavior Analyst
- Magnolia, TX
National Provider Identifier
1104361245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 3047
- Practice address
- 703 Placid Lake LN
Magnolia, TX 77354-5276 - Phone
- (346) 248-5115
- NPI assigned
- Dec 28, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 3047 | TX | Primary |
Addresses
Primary practice location
703 Placid Lake LN
Magnolia, TX 77354-5276
Mailing address
7419 Ponderosa Dr
Magnolia, TX 77354-5734
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3047 | TX | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy on a Hill LLC | Behavior Analyst | Current | Accepting new patients |
| Lone Star ABA Behavioral Services and Supports | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Behavior Analyst
- Spring, TX
- NPI 1538879911
-
- Behavior Analyst
- Magnolia, TX
- NPI 1679932362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584576000000",
"number": "1104361245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7419 PONDEROSA DR",
"city": "MAGNOLIA",
"state": "TX",
"postal_code": "773545734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 PLACID LAKE LN",
"city": "MAGNOLIA",
"state": "TX",
"postal_code": "773545276",
"telephone_number": "346-248-5115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "TERESA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-28",
"last_updated": "2020-03-19",
"certification_date": "2020-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "3047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Magnolia, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.