Omar David Cruzcantres, RBT-18-66659

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-18-66659 Issued in FL

Practice address

102 Park Place Blvd Ste C1
Kissimmee, FL 34741-2358

Phone

(321) 402-9916

NPI assigned

Dec 26, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• My Ba Therapy Center Inc.

  • Behavior Analyst
  • Kissimmee, FL
  • NPI 1326588781
  NPD (past)
• My Ba Therapy Center Inc.

  • Behavior Analyst
  • Kissimmee, FL
  • NPI 1952066888
  NPD (past)
• My Ba Therapy Center Inc.

  • Behavior Analyst
  • Kissimmee, FL
  • NPI 1962167890
  NPD (past)

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

{
    "created_epoch": "1545782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1609348986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2227 CATHERINE ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347413907",
            "telephone_number": "321-402-9916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PARK PLACE BLVD STE C1",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347412358",
            "telephone_number": "321-402-9916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZCANTRES",
        "first_name": "OMAR",
        "middle_name": "DAVID",
        "credential": "RBT-18-66659",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-26",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-18-66659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101027300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sasha Cruz, RBT
• Sonia Cruz
• Xiomara Cruz
• Yashyra M Cruz
• Ahnyira D Cruzado
• Crystal Jones Aprn LLC
• Csao Inc.
• Csi-Pediatric Services, LLC
• Michelle Denise Cuadrado
• Martha Patricia Cuadro

• Behavior Technician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.