MR. ZACHARY JONATHAN CRUZ (NPI# 1376188581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376188581 |
| Entity Type | Individual |
| Full Name | MR. ZACHARY JONATHAN CRUZ |
| Practice Address |
901 N Santa Fe Ave Fountain CO 80817-1738 |
| Mailing Address |
4380 Morning Sun Ave Apt 16 Colorado Springs CO 80918-6644 |
| Practice Telephone | 7198220550 |
| Mailing Telephone | 7192430102 |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2019-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447885884 | Zachary Michael Cruz | Registered Nurse | 11201 Benton St, Loma Linda, CA 92357-1000 | 2020-03-05 |
| Street Address |
901 N SANTA FE AVE |
| City | FOUNTAIN |
| State | CO |
| Zip Code | 80817-1738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245771989 | Nicole Losse | Physical Therapist | 901 N Santa Fe Ave, Fountain, CO 80817-1738 | 2017-03-14 |
| 1467050658 | Buck Jack LLC | Behavioral Analyst | 901 N Santa Fe Ave, Fountain, CO 80817-1738 | 2020-10-12 |
| 1790382364 | Amy Shandy, Speech-language Pathologist, LLC | Behavioral Analyst | 901 N Santa Fe Ave, Fountain, CO 80817-1738 | 2020-10-06 |
| 1669079331 | Paige Alexis Thomas | Speech-Language Pathologist | 901 N Santa Fe Ave, Fountain, CO 80817-1738 | 2020-10-06 |
| 1023624368 | Caitlyn Collins | Behavior Technician | 901 N Santa Fe Ave, Fountain, CO 80817-1738 | 2020-09-22 |
| 1235745548 | Kimberly Mclaughlin | Behavior Technician | 901 N Santa Fe Ave, Fountain, CO 80817-1738 | 2020-09-22 |
| 1366057689 | Amy Shandy, Speech-language Pathologist, LLC | Behavioral Analyst | 901 N Santa Fe Ave, Fountain, CO 80817-1738 | 2020-09-14 |
| 1871108134 | Xavier Martinez | Behavior Technician | 901 N Santa Fe Ave, Fountain, CO 80817-1738 | 2020-09-14 |
| 1154936466 | Amy Shandy, Speech-language Pathologist, LLC | Behavior Technician | 901 N Santa Fe Ave, Fountain, CO 80817-1738 | 2020-09-14 |
| 1558975029 | Buck Jack LLC | Psychologist | 901 N Santa Fe Ave, Fountain, CO 80817-1738 | 2020-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710591037 | Emergency Medical Specialists, PC | Emergency Medicine | Fountain Fsed - Md, 7890 Fountain Mesa Rd, Fountain, CO 80817 | 2020-09-03 |
| 1619581998 | Emergency Medical Specialists, PC | Emergency Medicine | Fountain Fsed - App, 7890 Fountain Mesa Rd, Fountain, CO 80817 | 2020-09-03 |
| 1417519885 | Hannah Louise Fiser | Occupational Therapist | 901 N Santa Fe Ave., Fountain, CO 80817 | 2019-07-05 |
| 1780172858 | Alonna Ku | Dental Hygienist | 8085 Fountain Mesa Road, Fountain, CO 80817 | 2018-04-24 |
| 1902308489 | Scott R Mathis Maintenance & Construction | Contractor | 7046 Stowe Circle, Fountain, CO 80817 | 2018-03-01 |
| 1578078952 | Joanne Marie Ortega | Dental Laboratory Technician | 8296 Firecracker Trl, Fountain, CO 80817 | 2017-12-07 |
| 1174058176 | Amy Rapp | Psychologist | 6885 Mesa Ridge Parkway, # 141, Fountain, CO 80817 | 2017-04-27 |
| 1063954063 | Tracey Lynn Daniels | Physician Assistant | 10513 Wells Pt, Fountain, CO 80817 | 2016-11-08 |
| 1811440860 | Hanover Fire Protection District | Ambulance | 13325 Old Pueblo Road, Fountain, CO 80817 | 2016-07-26 |
| 1356704001 | Fountain Chiropractic and Wellness Center | Chiropractor | 468 N. Santa Fe Ave, Fountain, CO 80817 | 2016-03-31 |
| Find all providers in zip 80817 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417572165 | Jessica Renee Garcia | Behavior Technician | 7719 Del Ray Bay St, Fountain, CO 80817-1795 | 2020-06-09 |
| 1740727163 | Anya Nichole Martinez | Behavior Technician | 6612 Fountain Ridge Cir, Fountain, CO 80817-4712 | 2017-01-23 |
| 1023624368 | Caitlyn Collins | Behavior Technician | 901 N Santa Fe Ave, Fountain, CO 80817-1738 | 2020-09-22 |
| 1235745548 | Kimberly Mclaughlin | Behavior Technician | 901 N Santa Fe Ave, Fountain, CO 80817-1738 | 2020-09-22 |
| 1871108134 | Xavier Martinez | Behavior Technician | 901 N Santa Fe Ave, Fountain, CO 80817-1738 | 2020-09-14 |
| 1154936466 | Amy Shandy, Speech-language Pathologist, LLC | Behavior Technician | 901 N Santa Fe Ave, Fountain, CO 80817-1738 | 2020-09-14 |
| 1245848431 | Aleah Haley Brown | Behavior Technician | 901 N Santa Fe Ave, Fountain, CO 80817-1738 | 2020-07-14 |
| 1679191324 | Kindee Lynn Carter | Behavior Technician | 901 N Santa Fe Ave, Fountain, CO 80817-1738 | 2020-07-09 |
| 1679196976 | Jada Imani Uylett | Behavior Technician | 901 N Santa Fe Ave, Fountain, CO 80817-1738 | 2020-05-20 |
| 1972130060 | Danielle Jean Garceau | Behavior Technician | 901 N Santa Fe Ave, Fountain, CO 80817-1738 | 2020-03-26 |
| Find all providers in FOUNTAIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.