Individual provider Active NPI

Ricky Lamar Hawks Jr.

  • Behavior Analyst
  • Orlando, FL
National Provider Identifier
1134788904
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-49861 Issued in FL
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

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-21-49861 FL Primary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
19-88633FLMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Hawks Nest Behavioral Services LLC Behavior Analyst CurrentSince Dec 31, 2023 Accepting new patients
Kinder Konsulting & Parents Too, Inc. Single Specialty Past Accepting new patients
Latino Leadership, Inc. Behavior Analyst PastSince Sep 15, 2019 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.

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.

Verify at the official NPI Registry.