Individual provider Active NPI

Ketty Esther Cruz, BCBA

  • Behavior Analyst
  • Schaumburg, IL
National Provider Identifier
1902246317
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
1901 Finchley CT
Schaumburg, IL 60194
Phone
(773) 350-4686
NPI assigned
Jun 29, 2013
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary
Interpreter 171R00000X
Behavior Technician 106S00000X 17-35099 IL

Addresses

Primary practice location

1901 Finchley CT
Schaumburg, IL 60194

Mailing address

1901 Finchley CT
Schaumburg, IL 60194-2218
Phone (773) 350-4686

Other names 1

  • Esther Cruz Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address e.cruz@nsgaba.org Direct Nexus Solutions Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17-35099ILMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Nexus Solutions for Autism of Oklahoma LLC Behavior Analyst Past Accepting new patients
Nexus Solutions for Autism, LLC. Behavior Analyst Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: e.cruz@nsgaba.org

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1372464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1902246317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 FINCHLEY CT",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601942218",
            "telephone_number": "773-350-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 FINCHLEY CT",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "60194",
            "telephone_number": "773-350-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "KETTY",
        "middle_name": "ESTHER",
        "name_prefix": "Ms.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-29",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171R00000X",
            "taxonomy_group": "",
            "desc": "Interpreter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": "17-35099",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "e.cruz@nsgaba.org",
            "affiliation": "Y",
            "endpointDescription": "My work email at Nexus Solutions Group",
            "affiliationName": "Nexus Solutions Group, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "710 S Walnut Ave",
            "city": "Arlington Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600052306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ESTHER",
            "last_name": "CRUZ",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.