Individual provider Active NPI

Maria I Hernandez, MA, BCBA

  • Behavior Analyst
  • Fullerton, CA
National Provider Identifier
1083017123
Registry record updated Oct 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-14-10303 Issued in CA
Practice address
1435 N Harbor Blvd # 124
Fullerton, CA 92835-4105
Phone
(714) 773-0077
Fax
(714) 773-0067
NPI assigned
Oct 3, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-14-10303 CA Primary

Addresses

Primary practice location

1435 N Harbor Blvd # 124
Fullerton, CA 92835-4105

Mailing address

12571 Pinon CT
Garden Grove, CA 92843-4160
Phone (714) 585-2940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260311003270 CA Practitioner - Clinical Psychologist 7012490675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11231 Anabel Ave
Garden Grove, CA 92843-3649

4740 Von Karman Ave
Suite 120
Newport Beach, CA 92660-2172

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Psychological Services, P.C. CurrentSince Feb 9, 2026 Accepting new patients

Locations

4740 Von Karman Ave
Ste 120
Newport Beach, CA 92660
Phone (949) 910-3197

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": "1412294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412294400000",
    "number": "1083017123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12571 PINON CT",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434160",
            "telephone_number": "714-585-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 N HARBOR BLVD # 124",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354105",
            "telephone_number": "714-773-0077",
            "fax_number": "714-773-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MARIA",
        "middle_name": "I",
        "credential": "MA, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-03",
        "last_updated": "2014-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-14-10303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.