Active NPI
Cameron Scott Kruse
- Behavior Technician
- Livonia, MI
National Provider Identifier
1790693752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 13955 Farmington Rd
Livonia, MI 48154-5453 - Phone
- (734) 855-4490
- Fax
- (248) 712-4381
- NPI assigned
- Aug 31, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
13955 Farmington Rd
Livonia, MI 48154-5453
Mailing address
5201 Heather Dr Apt 112
Dearborn, MI 48126-2887
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1790693752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5201 HEATHER DR APT 112",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481262887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13955 FARMINGTON RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481545453",
"telephone_number": "734-855-4490",
"fax_number": "248-712-4381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUSE",
"first_name": "CAMERON",
"middle_name": "SCOTT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-31",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.