Mr. Jan E Cruz
Behavior Analyst in Staten Island, New York
1104237627- Practice location
- 150 Granite Ave, Staten Island, NY 10303-2718
- Phone
- 718-816-1422
- Fax
- —
- Last updated
- May 29, 2014
Jan Ericson Cruz is a Behavior Analyst based in Staten Island, NY. Jan Ericson Cruz practices in Staten Island, NY. The NPI Number for Jan Ericson Cruz is 1104237627 and holds a License No. 1-12-10214 (NY). The current practice location address for Jan Ericson Cruz is 150 Granite Ave, Staten Island, NY 10303-2718 and can be reached out via phone at 718-816-1422.
Provider Profile Details
- NPI Number
- 1104237627
- Provider Name
- Jan Ericson Cruz
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 150 Granite Ave, Staten Island, NY 10303-2718
- Phone Number
- 718-816-1422
- Primary Taxonomy
- Behavior Analyst · 103K00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 19, 2014
- Last Update Date
- May 29, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 150 Granite Ave
Staten Island, NY 10303-2718 - City
- Staten Island
- State
- New York
- Zip
- 10303-2718
- Phone Number
- 718-816-1422
Provider Business Mailing Address Details
- Address
- 150 Granite Ave
Staten Island, NY 10303-2718 - City
- Staten Island
- State
- NY
- Zip
- 10303-2718
- Phone Number
- 718-816-1422
License Information
- License Number
- 1-12-10214
- License State
- NY
- Taxonomy
- Behavior Analyst · 103K00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Jan E Cruz?
The NPI number of Mr. Jan E Cruz is 1104237627. It was assigned on May 19, 2014 and is currently active in the NPPES registry.
What is the specialty of Mr. Jan E Cruz?
Mr. Jan E Cruz is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in NY under license number 1-12-10214.
Where does Mr. Jan E Cruz practice?
The practice location is 150 Granite Ave, Staten Island, NY 10303-2718. The office can be reached at 718-816-1422 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104237627 directly on the NPPES registry website.