Ivan Hernandez Garcia

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

11328 Lakeland Cir
Fort Myers, FL 33913-6913

Phone

(239) 691-6482

NPI assigned

Apr 23, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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.

• ABA of Southwest Florida Corp.

  • Behavior Analyst
  • Fort Myers Beach, FL
  • NPI 1679065429
  NPD (past)

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1235626540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1162 HANCOCK CREEK SOUTH BLVD APT 104",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339095193",
            "telephone_number": "239-384-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11328 LAKELAND CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339136913",
            "telephone_number": "239-691-6482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "614 SE 47th St Apt 3",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "33904",
            "country_code": "US",
            "telephone_number": "239-384-2344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ GARCIA",
        "first_name": "IVAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-23",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greyti Hernandez Bermudez
• Yenibet Hernandez Betancourt
• Dailiana Hernandez Castanedo
• Melissa Marian Hernandez Cruz
• Jaylen Allyce Hernandez Fortini
• Ana Hernandez Gomez, RBT-24-394026
• Sandra Hernandez Gomez
• Dailyn Hernandez Martinez, ACNPC-AG-BC
• Marbelis Hernandez Ramos, RBT
• Claudia Hernandez Rosales

• Behavior Analyst in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; 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.