Zachary Jonathan Cruz
Individual provider Active NPI Behavior Technician · Fountain, CO
NPI 1376188581 · NPPES record last updated Nov 12, 2019
Key facts
- NPI
- 1376188581
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 901 N Santa Fe Ave
Fountain, CO 80817-1738 - Phone
- (719) 822-0550
- NPI assigned
- Nov 12, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
901 N Santa Fe Ave
Fountain, CO 80817-1738
Mailing address
4380 Morning Sun Ave Apt 16
Colorado Springs, CO 80918-6644
Phone (719) 243-0102
Other providers in Fountain, CO
- Heather N Copeland
- Sonya Michelle Copeland
- Megan T Corbett
- Julie Kay Crocfer
- Raul Cruz-Torres
- Brian Daub
- Karen R Daugherty
- Taylor Dautaj
- Kaylie Day
- Jovita Deegan
All providers in Fountain, CO · Behavior Technician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.