Active NPI
Maribel Hernandez
- Behavior Technician
- San Bernardino, CA
National Provider Identifier
1083402804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 2364 Del Rosa Ave Ste C
San Bernardino, CA 92404-4417 - Phone
- (442) 327-9172
- NPI assigned
- Apr 30, 2025
- Sex
- Female
- Sole proprietor
- No
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
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2364 Del Rosa Ave Ste C
San Bernardino, CA 92404-4417
Mailing address
441 E C St
Colton, CA 92324-2837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 30, 2025.
{
"created_epoch": "1745971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745971200000",
"number": "1083402804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "441 E C ST",
"city": "COLTON",
"state": "CA",
"postal_code": "923242837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2364 DEL ROSA AVE STE C",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924044417",
"telephone_number": "442-327-9172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "MARIBEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-30",
"last_updated": "2025-04-30",
"certification_date": "2025-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.