Individual provider Active NPI

Carlos Nunez Hernandez, RBT

  • Behavior Technician
  • Cape Coral, FL
National Provider Identifier
1023765195
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-22-206040 Issued in FL
Practice address
4831 Coronado Pkwy
Cape Coral, FL 33904-9516
Phone
(786) 815-7704
NPI assigned
Mar 8, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-22-206040 FL Primary

Addresses

Primary practice location

4831 Coronado Pkwy
Cape Coral, FL 33904-9516

Mailing address

220 Cultural Park Blvd
Cape Coral, FL 33990-1278
Phone (305) 384-0980

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

State licenses

LicenseStateTypeSpecialty
RBT-22-206040FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Crystal Angels Behavior Center Inc PastSince Mar 13, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1023765195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CULTURAL PARK BLVD",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339901278",
            "telephone_number": "305-384-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4831 CORONADO PKWY",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339049516",
            "telephone_number": "786-815-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ HERNANDEZ",
        "first_name": "CARLOS",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-22-206040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.

Verify at the official NPI Registry.