Active NPI
Ricky Lamar Hawks Jr.
- Behavior Analyst
- Orlando, FL
National Provider Identifier
1134788904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-49861
- Practice address
- 12315 Lake Underhill Rd
Orlando, FL 32828-4507 - Phone
- (407) 964-1152
- NPI assigned
- Jun 6, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-21-49861 | FL | Primary |
| Behavior Analyst | 103K00000X | 19-88633 | FL |
Addresses
Primary practice location
12315 Lake Underhill Rd
Orlando, FL 32828-4507
Mailing address
12981 Mallory Cir Apt 108
Orlando, FL 32828-3818
Phone (407) 431-2157
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19-88633 | FL | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hawks Nest Behavioral Services LLC | Behavior Analyst | Current | Accepting new patients |
| Kinder Konsulting & Parents Too, Inc. | Single Specialty | Past | Accepting new patients |
| Latino Leadership, Inc. | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Behavior Analyst
- Orlando, FL
- NPI 1447826615
-
- Community/Behavioral Health Agency
- Winter Park, FL
- NPI 1346353067
Single Specialty
-
- Behavior Analyst
- Orlando, FL
- NPI 1861882631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707782400000",
"number": "1134788904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12981 MALLORY CIR APT 108",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328283818",
"telephone_number": "407-431-2157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12315 LAKE UNDERHILL RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328284507",
"telephone_number": "407-964-1152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKS",
"first_name": "RICKY",
"middle_name": "LAMAR",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-06",
"last_updated": "2024-02-13",
"certification_date": "2024-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-21-49861",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "FL",
"license": "19-88633",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.