Berenice De la Cruz, M.S., BCBA

Primary specialty

CounselorTaxonomy code 101Y00000X

License

1062804

Practice address

11712 Dunblane Way
Austin, TX 78754-5870

Phone

(512) 299-4456

Fax

(512) 472-5787

NPI assigned

Sep 11, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Paced Behavior, LLC

  • Behavior Analyst
  • Austin, TX
  • NPI 1457684813
  NPD (past) Authorized official

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1760677884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11712 DUNBLANE WAY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787545870",
            "telephone_number": "512-299-4456",
            "fax_number": "512-472-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11712 DUNBLANE WAY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787545870",
            "telephone_number": "512-299-4456",
            "fax_number": "512-472-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA CRUZ",
        "first_name": "BERENICE",
        "credential": "M.S., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": "1062804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL ID #",
            "identifier": "260560776",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia De Freitas Pinheiro
• Irene Ruth De Gutierrez
• Rachel Joy De Haan, RBT
• Brittni De Hoyos, RN
• Kimberly Ellison De Jong, M.S., BCBA
• Yajaira De la Espada
• Ashley May De la Fuente
• Marcela De la Fuente, PH.D
• Angela De la Garza
• Karen De la Garza, MD

• Counselor in Austin, TX
• Providers in Austin, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.