Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jimmy Cruz

Individual provider Early Intervention Provider Agency · NPI 1548926504

Jimmy Cruz is an Early Intervention Provider Agency in Bronx, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

961 Rev James A Polite Ave Apt 512
Bronx, NY 10459-3569
Phone: (347) 238-4273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assistant Behavior Analyst (primary) Taxonomy 106E00000X · Licence 1554292212 (NY)
Early Intervention Provider Agency Taxonomy 252Y00000X · Licence 1554292212 (NY)

Record details

NPI number1548926504
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 15, 2021
Last updated in NPPESNovember 15, 2021
Certification dateNovember 15, 2021

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