Kristina Victoria Fernandez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

11011 Sheridan St Ste 210
Hollywood, FL 33026-1531

Phone

(954) 552-6668

NPI assigned

Jun 12, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Sprout Behavioral Services, Inc.

  • Behavior Analyst
  • Oakland Park, FL
  • NPI 1649727090
  NPD (past)

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1154216604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18298 SW 24TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295250",
            "telephone_number": "954-909-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11011 SHERIDAN ST STE 210",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330261531",
            "telephone_number": "954-552-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "KRISTINA",
        "middle_name": "VICTORIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eliza Fernandez, FIRST ASSISTANT
• Erika Rose Fernandez, MD
• Franchesca M Fernandez
• Ivan Francisco Fernandez, CBHCM
• Katherim Fernandez
• Manuel Antonio Fernandez
• Maria L Fernandez
• Marta Rosa Fernandez, M.D.
• Mirta Fernandez
• Nadia Fernandez

• Behavior Technician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.

Verify at the official NPI Registry.