Individual provider Active NPI

Arianna M Fernandez

  • Behavior Technician
  • Spring Lake, NC
National Provider Identifier
1194588905
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
102 Superior Dr
Spring Lake, NC 28390-3190
Phone
(910) 484-1711
NPI assigned
Feb 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

102 Superior Dr
Spring Lake, NC 28390-3190

Mailing address

102 Superior Dr
Spring Lake, NC 28390-3190
Phone (910) 484-1711

Other practice location 1

185 Mittie Haddock Dr
Cameron, NC 28326-9379
Phone (910) 500-7783

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Autism Center Behavior Technician CurrentSince Feb 1, 2024 Accepting new patients

Locations

300 International Pkwy
Ste 200
Lake Mary, FL 32746
Phone (407) 915-7729

185 Mittie Haddock Dr
Cameron, NC 28326
Phone (910) 500-7783

Organizations & group practices 1

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": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1194588905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 SUPERIOR DR",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283903190",
            "telephone_number": "910-484-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 SUPERIOR DR",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283903190",
            "telephone_number": "910-484-1711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "185 Mittie Haddock Dr",
            "address_purpose": "LOCATION",
            "city": "Cameron",
            "state": "NC",
            "postal_code": "283269379",
            "country_code": "US",
            "telephone_number": "910-500-7783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "ARIANNA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Lake, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.