Individual provider Active NPI

Stephanie A Cruz, REGISTERED BEHAVIOR

  • Behavior Analyst
  • Pompano Beach, FL
National Provider Identifier
1568946457
Registry record updated May 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
3520 Oaks Way Apt 904
Pompano Beach, FL 33069-5387
Phone
(305) 807-1909
Fax
(305) 397-0308
NPI assigned
Sep 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

3520 Oaks Way Apt 904
Pompano Beach, FL 33069-5387

Mailing address

3520 Oaks Way Apt 904
Pompano Beach, FL 33069-5387
Phone (305) 807-1909

Other practice location 1

800 Cummings Ctr
Beverly, MA 01915-6175
Phone (978) 778-6743

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

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Behavioral Science Behavior Analyst PastSince May 24, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589673600000",
    "number": "1568946457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 OAKS WAY APT 904",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330695387",
            "telephone_number": "305-807-1909",
            "fax_number": "305-397-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 OAKS WAY APT 904",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330695387",
            "telephone_number": "305-807-1909",
            "fax_number": "305-397-0308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Cummings Ctr",
            "address_purpose": "LOCATION",
            "city": "Beverly",
            "state": "MA",
            "postal_code": "019156175",
            "country_code": "US",
            "telephone_number": "978-778-6743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "STEPHANIE",
        "middle_name": "A",
        "credential": "REGISTERED BEHAVIOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2020-05-17",
        "certification_date": "2020-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2020; 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.