Active NPI
Vanessa Justine Hernandez
- Behavior Analyst
- Apple Valley, CA
National Provider Identifier
1023747490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 19195 US Highway 18, Suite 104, Apple Valley, Ca 92307
Apple Valley, CA 92307 - Phone
- (888) 557-1305
- NPI assigned
- Jun 9, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
19195 US Highway 18, Suite 104, Apple Valley, Ca 92307
Apple Valley, CA 92307
Mailing address
15049 Riverview LN
Victorville, CA 92394-0546
Phone (760) 265-8354
Other practice location 1
19195 US Highway 18, Suite 104, Apple Valley, CA 92307
Apple Valley, CA 92392
Phone (888) 557-1305
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654732800000",
"number": "1023747490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15049 RIVERVIEW LN",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923940546",
"telephone_number": "760-265-8354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19195 US HIGHWAY 18, SUITE 104, APPLE VALLEY, CA 92307",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "92307",
"telephone_number": "888-557-1305"
}
],
"practiceLocations": [
{
"address_1": "19195 US Highway 18, Suite 104, Apple Valley, CA 92307",
"address_purpose": "LOCATION",
"city": "Apple Valley",
"state": "CA",
"postal_code": "92392",
"country_code": "US",
"telephone_number": "888-557-1305",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "VANESSA",
"middle_name": "JUSTINE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-09",
"last_updated": "2022-06-09",
"certification_date": "2022-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apple Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.