Active NPI
Samuel N Cruz, BCBA
- Behavior Analyst
- San Antonio, TX
National Provider Identifier
1942708490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 5296
- Practice address
- 14603 Huebner Rd BLDG 23
San Antonio, TX 78230-5492 - Phone
- (210) 317-9218
- NPI assigned
- Jan 30, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | 5296 | TX | Primary |
Addresses
Primary practice location
14603 Huebner Rd BLDG 23
San Antonio, TX 78230-5492
Mailing address
14603 Huebner Rd BLDG 23
San Antonio, TX 78230-5492
Phone (818) 345-2345
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5296 | TX | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1942708490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14603 HUEBNER RD BLDG 23",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782305492",
"telephone_number": "818-345-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14603 HUEBNER RD BLDG 23",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782305492",
"telephone_number": "210-317-9218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "SAMUEL",
"middle_name": "N",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-01-30",
"last_updated": "2022-08-31",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "5296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.