Active NPI
Zelazny Gonzalez Cruz
- Behavior Analyst
- Plant City, FL
National Provider Identifier
1912731506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 4701 Smith Ryals Rd
Plant City, FL 33567-3656 - Phone
- (813) 808-5310
- NPI assigned
- Aug 27, 2024
- Sex
- Female
- 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 Analyst | 103K00000X | Primary |
Addresses
Primary practice location
4701 Smith Ryals Rd
Plant City, FL 33567-3656
Mailing address
4701 Smith Ryals Rd
Plant City, FL 33567-3656
Phone (813) 808-5310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SSN | Medicaid | FL |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1912731506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4701 SMITH RYALS RD",
"city": "PLANT CITY",
"state": "FL",
"postal_code": "335673656",
"telephone_number": "813-808-5310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 SMITH RYALS RD",
"city": "PLANT CITY",
"state": "FL",
"postal_code": "335673656",
"telephone_number": "813-808-5310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ CRUZ",
"first_name": "ZELAZNY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-27",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SSN",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plant City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.