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

Mr. Jan Ericson Cruz

Individual provider Behavior Analyst · NPI 1104237627

Mr. Jan Ericson Cruz is a Behavior Analyst in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2014

Practice location Address checks out

150 Granite Ave
Staten Island, NY 10303-2718
Phone: (718) 816-1422
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-12-10214 (NY)

Record details

NPI number1104237627
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 19, 2014
Last updated in NPPESMay 29, 2014

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