Individual provider Active NPI

Mauria Maria Hernandez, RBT

  • Assistant Behavior Analyst
  • Doral, FL
National Provider Identifier
1093366429
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
RBT1976212 Issued in FL
Practice address
4134 NW 79TH Ave Apt 1a
Doral, FL 33166-6533
Phone
(786) 208-3481
NPI assigned
Sep 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X RBT1976212 FL Primary

Addresses

Primary practice location

4134 NW 79TH Ave Apt 1a
Doral, FL 33166-6533

Mailing address

4134 NW 79TH Ave Apt 1a
Doral, FL 33166-6533
Phone (786) 208-3481

Other identifiers 1

IdentifierTypeStateIssuer
H65555383687OtherLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Mauria2753@gmail.com

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
RBT1976212FLMDAssistant Behavior Analyst

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1093366429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4134 NW 79TH AVE APT 1A",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666533",
            "telephone_number": "786-208-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4134 NW 79TH AVE APT 1A",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666533",
            "telephone_number": "786-208-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MAURIA",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "RBT1976212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "H65555383687",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Mauria2753@gmail.com",
            "affiliation": "N",
            "address_1": "4134 NW 79th Ave Apt 1A",
            "city": "Doral",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331666533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.