Individual provider Active NPI

Daniela Moreno Hernandez, M.ED,BCBA,LBA

  • Behavior Analyst
  • Midlothian, VA
National Provider Identifier
1083375497
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0133002256 Issued in VA
Practice address
1107 Alverser Dr
Midlothian, VA 23113-2655
Phone
(804) 897-1753
NPI assigned
Jan 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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 0133002256 VA Primary

Addresses

Primary practice location

1107 Alverser Dr
Midlothian, VA 23113-2655

Mailing address

3233 Gannet LN
Midlothian, VA 23112-4959
Phone (804) 938-5447

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
0133002256VAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
RCG State Government Services, LLC Past 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": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1083375497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3233 GANNET LN",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124959",
            "telephone_number": "804-938-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 ALVERSER DR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132655",
            "telephone_number": "804-897-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO HERNANDEZ",
        "first_name": "DANIELA",
        "credential": "M.ED,BCBA,LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-07",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133002256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.