Individual provider Active NPI

Cindy Denise Quintero

  • Behavior Technician
  • Gig Harbor, WA
National Provider Identifier
1104535558
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
22243034 Issued in AZ
Practice address
3616 118TH Street CT NW
Gig Harbor, WA 98332-6867
Phone
(603) 692-8173
NPI assigned
Nov 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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 22243034 AZ Primary

Addresses

Primary practice location

3616 118TH Street CT NW
Gig Harbor, WA 98332-6867

Mailing address

3616 118TH Street CT NW
Gig Harbor, WA 98332-6867

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL centralreach.com True Crew LLC

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
22243034AZMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
True Crew LLC CurrentSince Jun 3, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1104535558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3616 118TH STREET CT NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983326867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3616 118TH STREET CT NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983326867",
            "telephone_number": "603-692-8173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTERO",
        "first_name": "CINDY",
        "middle_name": "DENISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AZ",
            "license": "22243034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "centralreach.com",
            "affiliation": "Y",
            "endpointDescription": "online data collection system",
            "affiliationName": "True Crew LLC",
            "address_1": "3616 118th Street Ct NW",
            "city": "Gig Harbor",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983326867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.