Active NPI
Samuel Cruz
- Assistant Behavior Analyst
- Davie, FL
National Provider Identifier
1295130409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- Practice address
- 8001 SW 36TH St
Suite 9
Davie, FL 33328-1915 - Phone
- (954) 577-7790
- Fax
- (954) 577-7780
- NPI assigned
- Oct 30, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | Primary |
Addresses
Primary practice location
8001 SW 36TH St
Suite 9
Davie, FL 33328-1915
Mailing address
275 Fontainebleau Blvd Apt 211
Miami, FL 33172-4677
Phone (786) 389-3731
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": "1414627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605657600000",
"number": "1295130409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 FONTAINEBLEAU BLVD APT 211",
"city": "MIAMI",
"state": "FL",
"postal_code": "331724677",
"telephone_number": "786-389-3731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8001 SW 36TH ST",
"address_2": "SUITE 9",
"city": "DAVIE",
"state": "FL",
"postal_code": "333281915",
"telephone_number": "954-577-7790",
"fax_number": "954-577-7780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "SAMUEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-10-30",
"last_updated": "2020-11-18",
"certification_date": "2020-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.