Laura M Cruz Perez

Key facts

NPI

1497601629

Entity type

Individual (NPI type 1)

Primary specialty

Behavior Technician 106S00000X

License

RBT-26-515335 (FL)

Practice address

1605 East PL
Mangonia Park, FL 33407-2111

Phone

(561) 707-2401

NPI assigned

Mar 9, 2026

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 9, 2026.

{
    "created_epoch": "1773014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1497601629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 EAST PL",
            "city": "MANGONIA PARK",
            "state": "FL",
            "postal_code": "334072111",
            "telephone_number": "561-707-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 EAST PL",
            "city": "MANGONIA PARK",
            "state": "FL",
            "postal_code": "334072111",
            "telephone_number": "561-707-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ PEREZ",
        "first_name": "LAURA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-09",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-26-515335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mangonia Park, FL

• Cogent Healthcare of Pensacola LLC
• Kaitlin Collins, APRN
• Manuel Corripio, M.D.
• Bidwell Joseph Cranage
• Beatriz Teresa Cruz Perez
• Maurice Cruz, M.D.
• Nahomie Dauphine, APRN ACNPC-AG
• James Yves Denis, MD
• Charity Denson, APRN
• Yadira Devaney, PMHNP

All providers in Mangonia Park, FL · Behavior Technician in Florida