Cassandra Rose Cruz Knowlton

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

11650 Iberia PL
San Diego, CA 92128-2406

Phone

(858) 877-9845

NPI assigned

May 22, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Cassandra Rose Cruz Knowlton Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1760049035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "867 STACEY AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922431714",
            "telephone_number": "760-562-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11650 IBERIA PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282406",
            "telephone_number": "858-877-9845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ KNOWLTON",
        "first_name": "CASSANDRA",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "CRUZ KNOWLTON",
            "middle_name": "ROSE",
            "prefix": "MRS.",
            "credential": "CASSANDRA ROSE CRUZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katherine Lynn Crusey, LMFT
• Jeffrey Crutchfield
• Andrea Cruz Chavez, BCBA
• Giselle Cruz Cuevas
• Nicole Cruz Gomez
• Yessica M Cruz Magana
• Luz Cruz Ramirez
• Jose Benjamin Cruz Rodriguez, M.D.
• Amy Cruz Sotelo
• Celia Christine Cruz-Elmassian, LCSW

• All providers in San Diego, CA
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.