Active NPI
Jennifer Marie Cruz
- Behavior Analyst
- Miami, FL
National Provider Identifier
1699220400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-19-39821
- Practice address
- 10300 SW 72ND St Ste 114
Miami, FL 33173-3038 - Phone
- (305) 508-5580
- NPI assigned
- Aug 22, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-18-50221 | FL | |
| Behavior Analyst | 103K00000X | 1-19-39821 | FL | Primary |
Addresses
Primary practice location
10300 SW 72ND St Ste 114
Miami, FL 33173-3038
Mailing address
9284 SW 222ND Way
Cutler Bay, FL 33190-1736
Phone (786) 609-3542
Other names 1
- Jennifer Marie Hernandez
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-18-50221 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683504000000",
"number": "1699220400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9284 SW 222ND WAY",
"city": "CUTLER BAY",
"state": "FL",
"postal_code": "331901736",
"telephone_number": "786-609-3542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10300 SW 72ND ST STE 114",
"city": "MIAMI",
"state": "FL",
"postal_code": "331733038",
"telephone_number": "305-508-5580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-22",
"last_updated": "2023-05-08",
"certification_date": "2023-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-18-50221",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-19-39821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "HERNANDEZ",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.