Individual provider Active NPI

Claudia Marissela Herrera Herrera

  • Behavior Technician
  • Hollywood, FL
National Provider Identifier
1073370987
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-331083 Issued in FL
Practice address
5932 Mayo St
Hollywood, FL 33023-2334
Phone
(305) 747-9143
NPI assigned
Mar 6, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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-24-331083 FL Primary

Addresses

Primary practice location

5932 Mayo St
Hollywood, FL 33023-2334

Mailing address

5932 Mayo St
Hollywood, FL 33023-2334
Phone (305) 747-9143

Other identifiers 1

IdentifierTypeStateIssuer
122100400MedicaidFL

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-24-331083FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1073370987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5932 MAYO ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330232334",
            "telephone_number": "305-747-9143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5932 MAYO ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330232334",
            "telephone_number": "305-747-9143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA HERRERA",
        "first_name": "CLAUDIA",
        "middle_name": "MARISSELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-06",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-331083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122100400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.