Individual provider Active NPI

Anisley Cruz Dominguez

  • Behavior Technician
  • Jacksonville, FL
National Provider Identifier
1427964642
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
26-2835808 Issued in FL
Practice address
1721 Anniston Rd Apt 813
Jacksonville, FL 32246-8540
Phone
(239) 672-6373
NPI assigned
Aug 19, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 26-2835808 FL Primary

Addresses

Primary practice location

1721 Anniston Rd Apt 813
Jacksonville, FL 32246-8540

Mailing address

1721 Anniston Rd Apt 813
Jacksonville, FL 32246-8540
Phone (239) 672-6373

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": "1787097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1427964642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 ANNISTON RD APT 813",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322468540",
            "telephone_number": "239-672-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 ANNISTON RD APT 813",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322468540",
            "telephone_number": "239-672-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ DOMINGUEZ",
        "first_name": "ANISLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-19",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "26-2835808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.