Active NPI
Jessley Cruz
- Behavior Technician
- Hialeah, FL
National Provider Identifier
1457129249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-23-312031
- Practice address
- 6975 W 16TH Ave Apt 128
Hialeah, FL 33014-3855 - Phone
- (786) 824-4045
- NPI assigned
- Dec 12, 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-23-312031 | FL | Primary |
Addresses
Primary practice location
6975 W 16TH Ave Apt 128
Hialeah, FL 33014-3855
Mailing address
6975 W 16TH Ave Apt 128
Hialeah, FL 33014-3855
Phone (786) 824-4045
Other practice location 1
5881 NW 151st St Ste 127
Miami Lakes, FL 33014-2442
Phone (786) 905-2262
Other names 1
- Jessley Cruz
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 |
|---|---|---|---|
| RBT-23-312031 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702339200000",
"number": "1457129249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6975 W 16TH AVE APT 128",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330143855",
"telephone_number": "786-824-4045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6975 W 16TH AVE APT 128",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330143855",
"telephone_number": "786-824-4045"
}
],
"practiceLocations": [
{
"address_1": "5881 NW 151st St Ste 127",
"address_purpose": "LOCATION",
"city": "Miami Lakes",
"state": "FL",
"postal_code": "330142442",
"country_code": "US",
"telephone_number": "786-905-2262",
"fax_number": "786-398-5500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRUZ",
"first_name": "JESSLEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-12",
"last_updated": "2023-12-12",
"certification_date": "2023-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-23-312031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSLEY",
"last_name": "CRUZ",
"credential": "RBT-23-312031",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.