Active NPIIndividual providerSole proprietor

Mr. Jose De La Cruz Sr., ABA

Behavior Analyst in Clifton, New Jersey

NPI Number1164987202
Practice location
61 Fenner Ave, Clifton, NJ 07013-1049
Fax
—
Last updated
February 3, 2019

Jose De La Cruz is a Behavior Analyst based in Clifton, NJ. Jose De La Cruz practices in Clifton, NJ and has the professional credentials of ABA. The NPI Number for Jose De La Cruz is 1164987202 and holds a License No. 0450343237 (NJ). The current practice location address for Jose De La Cruz is 61 Fenner Ave, Clifton, NJ 07013-1049 and can be reached out via phone at 973-510-4089.

Provider Profile Details

NPI Number
1164987202
Provider Name
Jose De La Cruz
Credential
ABA
Provider Entity Type
Individual
Gender
Male
Address
61 Fenner Ave, Clifton, NJ 07013-1049
Phone Number
973-510-4089
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
Yes
Other Names
Mr. Jose De La Cruz, ABA (Other Name)
Provider Enumeration Date
February 3, 2019
Last Update Date
February 3, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
61 Fenner Ave
Clifton, NJ 07013-1049
Zip
07013-1049
Phone Number
973-510-4089
Clifton, NJ 07013Get directions →

Provider Business Mailing Address Details

Address
61 Fenner Ave
Clifton, NJ 07013-1049
City
Clifton
State
NJ
Zip
07013-1049
Phone Number
973-510-4089

License Information

License Number
0450343237
License State
NJ
Taxonomy
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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. Jose De La Cruz Sr., ABA?

The NPI number of Mr. Jose De La Cruz Sr., ABA is 1164987202. It was assigned on February 3, 2019 and is currently active in the NPPES registry.

What is the specialty of Mr. Jose De La Cruz Sr., ABA?

Mr. Jose De La Cruz Sr., ABA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in NJ under license number 0450343237.

Where does Mr. Jose De La Cruz Sr., ABA practice?

The practice location is 61 Fenner Ave, Clifton, NJ 07013-1049. The office can be reached at 973-510-4089 (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 1164987202 directly on the NPPES registry website.

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