Jennifer Yvonne Cruz
Individual provider Active NPI Behavior Technician · Goulds, FL
NPI 1780128371 · NPPES record last updated May 21, 2019
Key facts
- NPI
- 1780128371
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 11276 SW 232ND St
Goulds, FL 33170-7505 - Phone
- (305) 912-8399
- NPI assigned
- Dec 15, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
11276 SW 232ND St
Goulds, FL 33170-7505
Mailing address
30660 SW 188TH Ave
Homestead, FL 33030-3834
Phone (305) 761-6459
Other providers in Goulds, FL
- Melissa Acosta
- Yoel A Amador Fabelo
- Christian S Brito
- Hanyelines Cabrera
- Christian A Cuellar
- Alyssa Nicole Diaz
- Erick Diaz
- Eduardo Dominguez Sanchez
- Brigette Gandarillas
All providers in Goulds, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.