Vivian Cruz Ortega

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-202681 Issued in FL

Practice address

7721 NW 4TH St
Pembroke Pines, FL 33024-7021

Phone

(786) 287-6811

NPI assigned

Mar 8, 2022

Last updated

Mar 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1720735863",
    "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": "786-287-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7721 NW 4TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330247021",
            "telephone_number": "786-287-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ ORTEGA",
        "first_name": "VIVIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-22-202681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB - BEHAVIOR ANALYST CERTIFICATION BOARD",
            "identifier": "RBT-22-202681",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ADDRESS",
            "affiliation": "N",
            "endpointDescription": "ADDRESS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7721 NW 4th St",
            "city": "Pembroke Pines",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330247021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gayle Elizabeth Crocker, MHC
• Kiera Lee Cromer
• Edward Anthony Cronauer, D.M.D.
• Robin Lee Crum, CNM
• Sineidy M Cruz Cruz
• Nilien Cruz Palenzuela
• Arianny Cruz Polo
• Maria T Cruz-Vargas, COTA
• Faith Kimberly Cruz, RN
• Iris Carolina Cruz, ARNP

• Behavior Technician in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.