Individual provider Active NPI

Maria Duran Cruz

  • Behavior Technician
  • Port Charlotte, FL
National Provider Identifier
1619658721
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT23285774 Issued in FL
Practice address
18245 Paulson Dr Ste 132
Port Charlotte, FL 33954-1019
Phone
(813) 528-7048
Fax
(855) 610-2343
NPI assigned
Jul 31, 2023
Last updated
Mar 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT23285774 FL Primary

Addresses

Primary practice location

18245 Paulson Dr Ste 132
Port Charlotte, FL 33954-1019

Mailing address

71 Mark Twain LN
Rotonda West, FL 33947-2140
Phone (786) 378-9083

Other identifiers 1

IdentifierTypeStateIssuer
119037300MedicaidFL

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

LicenseStateTypeSpecialty
RBT23285774FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1619658721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 MARK TWAIN LN",
            "city": "ROTONDA WEST",
            "state": "FL",
            "postal_code": "339472140",
            "telephone_number": "786-378-9083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18245 PAULSON DR STE 132",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339541019",
            "telephone_number": "813-528-7048",
            "fax_number": "855-610-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURAN CRUZ",
        "first_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT23285774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119037300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.