Active NPI
Sonia Cruz
- Behavior Analyst
- San Gabriel, CA
National Provider Identifier
1114437308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-23-65462
- Practice address
- 222 E Las Tunas Dr
San Gabriel, CA 91776-1404 - Phone
- (626) 320-1317
- Fax
- (626) 251-4266
- NPI assigned
- Oct 3, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | 0-17-7905 | CA | |
| Behavior Analyst | 103K00000X | 1-23-65462 | CA | Primary |
Addresses
Primary practice location
222 E Las Tunas Dr
San Gabriel, CA 91776-1404
Mailing address
2918 W 67TH St
Los Angeles, CA 90043-4440
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tello & Associates, Corp | Past | Accepting new patients | |
| CBC Education, Inc. | 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.
-
- Developmentally Disabled Services Day Training Agency
- San Gabriel, CA
- NPI 1306109418
-
- Developmentally Disabled Services Day Training Agency
- San Gabriel, CA
- NPI 1184987281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703203200000",
"number": "1114437308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2918 W 67TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900434440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 E LAS TUNAS DR",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917761404",
"telephone_number": "626-320-1317",
"fax_number": "626-251-4266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "SONIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-03",
"last_updated": "2023-12-22",
"certification_date": "2023-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "CA",
"license": "0-17-7905",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-23-65462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Gabriel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.