Rebeca Jazmin Cruz
Individual provider Active NPI Behavior Technician · Cedar Crest, NM
NPI 1104521145 · NPPES record last updated Mar 31, 2023
Key facts
- NPI
- 1104521145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 12121 NM Highway 14
Cedar Crest, NM 87008 - Phone
- (575) 202-1117
- NPI assigned
- Mar 31, 2023
- Sex
- Female
- Sole proprietor
- No
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 | NM | Yes |
Addresses
Primary practice location
12121 NM Highway 14
Cedar Crest, NM 87008
Mailing address
3876 Hawkins St NE
Albuquerque, NM 87109-4539
Phone (505) 508-0865
Other providers in Cedar Crest, NM
- May Ying Chau
- Luis Manuel Chaveste-Fernandez
- Anthony Sheng-Yuan Chuang
- Chaya Citrin
- Jana R. Covell
- Keli Maureen Dersch-Baldonado
- Desert Thriving LLC
- Eastern Slope Counseling and Consulting, LLC
- Gordon Battle Eatman
- Jacob Field
All providers in Cedar Crest, NM · Behavior Technician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2023. 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.