Nayaris Cruz
Individual provider Active NPI Behavior Technician · Debary, FL
NPI 1639947609 · NPPES record last updated Dec 19, 2023
Key facts
- NPI
- 1639947609
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-23-306987 (FL)
- Practice address
- 454 Fort Florida Rd
Debary, FL 32713-9714 - Phone
- (386) 562-0170
- NPI assigned
- Dec 19, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-23-306987 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Independence | Behavior Technician | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-23-306987 | FL | Yes |
Addresses
Primary practice location
454 Fort Florida Rd
Debary, FL 32713-9714
Mailing address
3402 Wavecrest St
Deltona, FL 32738-4381
Phone (386) 479-5714
Other providers in Debary, FL
- Contemporary Pilates & Massage, Inc
- Carlos Enrique Contreras Benitez
- Susan Conyac
- John X Cordoba
- Crown Medical Transport LLC
- Antonio Miguel Cubano
- Ashlynn Da Silva
- Jessica Crystal Daigle
- Lisa Dante
- Danvar and Associates LLC
All providers in Debary, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2023. 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.