Active NPI
Ellens Busot Cruz, BCABA
- Assistant Behavior Analyst
- Miami, FL
National Provider Identifier
1316724719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- BCABA-0-2314639
- Practice address
- 14194 SW 148TH CT
Miami, FL 33196-5668 - Phone
- (786) 378-3254
- NPI assigned
- Sep 11, 2023
- Sex
- Female
- 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 | BCABA-0-2314639 | FL | Primary |
Addresses
Primary practice location
14194 SW 148TH CT
Miami, FL 33196-5668
Mailing address
14194 SW 148TH CT
Miami, FL 33196-5668
Phone (786) 378-3254
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
| License | State | Type | Specialty |
|---|---|---|---|
| BCABA-0-2314639 | FL | MD | Assistant Behavior Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ABA Star Service LLC | Single Specialty | Past | 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": "1694390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1316724719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14194 SW 148TH CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331965668",
"telephone_number": "786-378-3254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14194 SW 148TH CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331965668",
"telephone_number": "786-378-3254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSOT CRUZ",
"first_name": "ELLENS",
"credential": "BCABA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-11",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Assistant Behavior Analyst",
"state": "FL",
"license": "BCABA-0-2314639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.