Individual provider Active NPI

Evelyn Zabala Cruz

  • Behavior Technician
  • Doral, FL
National Provider Identifier
1649819533
Registry record updated Dec 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT19104477 Issued in FL
Practice address
1905 NW 82ND Ave
Doral, FL 33126-1011
Phone
(786) 420-5924
Fax
(786) 542-5340
NPI assigned
Dec 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2019

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 RBT19104477 FL Primary

Addresses

Primary practice location

1905 NW 82ND Ave
Doral, FL 33126-1011

Mailing address

7721 NW 4TH St
Pembroke Pines, FL 33024-7021
Phone (786) 731-1602

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
RBT19104477FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1649819533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7721 NW 4TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330247021",
            "telephone_number": "786-731-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 NW 82ND AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261011",
            "telephone_number": "786-420-5924",
            "fax_number": "786-542-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZABALA CRUZ",
        "first_name": "EVELYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-26",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT19104477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; 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.