Ileana Regalado Hernandez

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

8821 Southampton Dr
Miramar, FL 33025-2717

Phone

(956) 413-4806

NPI assigned

Nov 8, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Growing Smiles ABA Services Inc

  • Behavior Analyst
  • Hollywood, FL
  • NPI 1396452942
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1003358052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8821 SOUTHAMPTON DR",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330252717",
            "telephone_number": "956-413-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8821 SOUTHAMPTON DR",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330252717",
            "telephone_number": "956-413-4806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGALADO HERNANDEZ",
        "first_name": "ILEANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-08",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-18-9178",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter Fabian Redler, PSYD, LCSW
• Opal Ann Marie Redwood
• Kiana Reece, LM, CPM
• Norma Reeves
• Reflective Rivers Therapy & Consulting LLC
• Rehab Medical LLC
• Rehabclinics Pta, Inc.
• Devaun Reid
• Kybuki K. Reid, ARNP
• Sebastian Patrick Reinoso

• Behavior Analyst in Miramar, FL
• Providers in Miramar, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.