Individual provider Active NPI

Xovanna Azareth Hernandez, BCABA

  • Assistant Behavior Analyst
  • La Verne, CA
National Provider Identifier
1194242370
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
Practice address
2120 Foothill Blvd Ste 205
La Verne, CA 91750-2949
Phone
(909) 525-4390
Fax
(909) 992-3018
NPI assigned
Aug 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X Primary

Addresses

Primary practice location

2120 Foothill Blvd Ste 205
La Verne, CA 91750-2949

Mailing address

2120 Foothill Blvd Ste 205
La Verne, CA 91750-2949
Phone (909) 525-4390

Other names 1

  • Xovanna Azareth Ramirez Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1194242370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 FOOTHILL BLVD STE 205",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917502949",
            "telephone_number": "909-525-4390",
            "fax_number": "909-992-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 FOOTHILL BLVD STE 205",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917502949",
            "telephone_number": "909-525-4390",
            "fax_number": "909-992-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "XOVANNA",
        "middle_name": "AZARETH",
        "credential": "BCABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "XOVANNA",
            "last_name": "RAMIREZ",
            "middle_name": "AZARETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in La Verne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.