Kimberly Agosto Cruz
Individual provider Active NPI Behavior Technician · East Hartford, CT
NPI 1497618300 · NPPES record last updated Dec 8, 2025
Key facts
- NPI
- 1497618300
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 144 Main St Ste G
East Hartford, CT 06118-3239 - Phone
- (855) 989-5963
- NPI assigned
- Dec 8, 2025
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician |
106S00000X | CT | Yes |
Addresses
Primary practice location
144 Main St Ste G
East Hartford, CT 06118-3239
Mailing address
267 Main St Apt B
East Hartford, CT 06118-1861
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All providers in East Hartford, CT · Behavior Technician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2025. 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.