Active NPI
Veronica De la Cruz
- Behavior Technician
- Redondo Beach, CA
National Provider Identifier
1669201919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-24-339407
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-24-339407 | CA | MD | Behavior 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.