Individual provider Active NPI

Mery Cruz Guzman, BCBA -1-17-28408

  • Behavior Analyst
  • Cutler Bay, FL
National Provider Identifier
1134576887
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BCBA-1-17-28408 Issued in FL
Practice address
20541 SW 79TH CT
Cutler Bay, FL 33189-2184
Phone
(786) 712-3844
NPI assigned
May 23, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH27564 FL
Behavior Analyst 103K00000X BCBA-1-17-28408 FL Primary

Addresses

Primary practice location

20541 SW 79TH CT
Cutler Bay, FL 33189-2184

Mailing address

20541 SW 79TH CT
Cutler Bay, FL 33189-2184
Phone (786) 712-3844

Other identifiers 1

IdentifierTypeStateIssuer
BCBA-1-17-28408OtherBEHAVIOR ANALYST CERTIFICATION BOARD

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

NPI Registry JSON

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1134576887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20541 SW 79TH CT",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331892184",
            "telephone_number": "786-712-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20541 SW 79TH CT",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331892184",
            "telephone_number": "786-712-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ GUZMAN",
        "first_name": "MERY",
        "credential": "BCBA -1-17-28408",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH27564",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "BCBA-1-17-28408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
            "identifier": "BCBA-1-17-28408",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

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