Individual provider Active NPI

Glenda Yenys Roque Cruz

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1972483410
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
15461 SW 81St Circle LN Apt 63
Miami, FL 33193-3327
Phone
(786) 975-9349
NPI assigned
Sep 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

15461 SW 81St Circle LN Apt 63
Miami, FL 33193-3327

Mailing address

15461 SW 81St Circle LN Apt 63
Miami, FL 33193-3327
Phone (786) 975-9349

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": "1756944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1972483410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15461 SW 81ST CIRCLE LN APT 63",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331933327",
            "telephone_number": "786-975-9349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15461 SW 81ST CIRCLE LN APT 63",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331933327",
            "telephone_number": "786-975-9349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROQUE CRUZ",
        "first_name": "GLENDA",
        "middle_name": "YENYS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-04",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.