Individual provider Active NPI

Veronica De la Cruz

  • Behavior Technician
  • Redondo Beach, CA
National Provider Identifier
1669201919
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-339407 Issued in CA
Practice address
2750 Artesia Blvd
Unit 118
Redondo Beach, CA 90278-3392
Phone
(310) 686-9678
Fax
(424) 244-3651
NPI assigned
Jul 26, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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 RBT-24-339407 CA Primary

Addresses

Primary practice location

2750 Artesia Blvd
Unit 118
Redondo Beach, CA 90278-3392

Mailing address

2750 Artesia Blvd Unit 118
Redondo Beach, CA 90278-3392
Phone (310) 686-9678

Other practice location 1

1045 W Redondo Beach Blvd Ste 135
Gardena, CA 90247-4104
Phone (310) 424-2108

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
RBT-24-339407CAMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1669201919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 ARTESIA BLVD UNIT 118",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783392",
            "telephone_number": "310-686-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 ARTESIA BLVD",
            "address_2": "UNIT 118",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783392",
            "telephone_number": "310-686-9678",
            "fax_number": "424-244-3651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1045 W Redondo Beach Blvd Ste 135",
            "address_purpose": "LOCATION",
            "city": "Gardena",
            "state": "CA",
            "postal_code": "902474104",
            "country_code": "US",
            "telephone_number": "310-424-2108",
            "fax_number": "424-244-3651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LA CRUZ",
        "first_name": "VERONICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-24-339407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.