Individual provider Active NPI

Natalia Herrera

  • Behavior Analyst
  • Coconut Creek, FL
National Provider Identifier
1104092584
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
11415726 Issued in FL
Practice address
5300 W Hillsboro Blvd Ste 208
Coconut Creek, FL 33073-4397
Phone
(305) 305-6367
Fax
(561) 423-3105
NPI assigned
May 5, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH 10390 FL
Developmental Therapist 222Q00000X
Behavior Analyst 103K00000X 11415726 FL Primary

Addresses

Primary practice location

5300 W Hillsboro Blvd Ste 208
Coconut Creek, FL 33073-4397

Mailing address

5300 W Hillsboro Blvd Ste 208
Coconut Creek, FL 33073-4397
Phone (305) 305-6367

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
IMH 10390FLMDMental Health Counselor
11415726FLMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Butterfly Effects Past Accepting new patients
Florida Family Support LLC Behavior Analyst Past Accepting new patients

Organizations & group practices 2

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": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1104092584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 W HILLSBORO BLVD STE 208",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734397",
            "telephone_number": "305-305-6367",
            "fax_number": "561-423-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 W HILLSBORO BLVD STE 208",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734397",
            "telephone_number": "305-305-6367",
            "fax_number": "561-423-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "NATALIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-05",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH 10390",
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "11415726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; 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.