MR. JAN ERICSON CRUZ
NPI 1104237627
Behavior Analyst in Staten Island, NY

Q: What is Jan Cruz's NPI number?

The NPI number for Jan Cruz is 1104237627. It was assigned to this individual provider in the NPPES registry on May 19, 2014.

Q: What is Jan Cruz's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Jan Cruz was last updated on May 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 19, 2014

150 GRANITE AVE, STATEN ISLAND, NY 10303(718) 816-1422 Get Directions Write a Review

NPPES record last updated: May 29, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Jan Ericson Cruz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JAN ERICSON CRUZ (NPI 1104237627) is an individual behavior analyst provider in Staten Island, New York, licensed in New York (1-12-10214) and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1104237627

Entity TypeIndividualMale

Primary Taxonomy103K00000X

Provider Legal NameMR. JAN ERICSON CRUZ

Location Address150 GRANITE AVEStaten Island, NY 10303-2718

Mailing Address150 Granite AveStaten Island, NY 10303-2718 · (718) 816-1422

Phone(718) 816-1422

Sole ProprietorYes

Enumeration DateMay 19, 2014

Last NPPES UpdateMay 29, 2014

✔ NPI 1104237627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in NY · 1-12-10214

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

150 GRANITE AVE, Staten Island, NY 10303

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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. FRANK R CICERO PHD

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