Lisa M Hernandez, BCABA

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

0-22-13759 Issued in FL

Practice address

306 Disston Ave
Minneola, FL 34715-5506

Phone

(407) 480-1887

NPI assigned

Sep 25, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1164931945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 DISSTON AVE",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347155506",
            "telephone_number": "407-480-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 DISSTON AVE",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347155506",
            "telephone_number": "407-480-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "BCABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-17-40153",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-22-13759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
            "identifier": "0-22-13759",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022455100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meagan Hargrove, PHARMD
• Christine Tuzzo Harris, MSW, LCSW
• Alexandra Hayes
• Laura Haynes, MS, CCC-SLP
• Amber L Helm, L.C.PED
• Cheryl G Hill, PTA
• Vounette Hines, PSY.S
• Andrea Hobbs
• Holiday CVS, L.L.C.
• Glady Michelle Holling, M.A.,CCC/SLP

• Assistant Behavior Analyst in Minneola, FL
• Providers in Minneola, FL by specialty
• Assistant Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.