Khalia Beverly Hurst

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

11476 S Apopka Vineland Rd Ste 118
Orlando, FL 32836-7006

Phone

(407) 955-4001

Fax

(407) 745-0738

NPI assigned

Jul 18, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1235652645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11476 S APOPKA VINELAND RD STE 118",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328367006",
            "telephone_number": "407-955-4001",
            "fax_number": "407-745-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11476 S APOPKA VINELAND RD STE 118",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328367006",
            "telephone_number": "407-955-4001",
            "fax_number": "407-745-0738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3730 Gatlin Woods Dr",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328127610",
            "country_code": "US",
            "telephone_number": "855-832-6727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURST",
        "first_name": "KHALIA",
        "middle_name": "BEVERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-18",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EAHCA013Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Girma Biru Huresae, RPH
• Catherine L Hurley
• Cayce Hurley, PHTSICAL THERAPIST
• Marisa Hurlock
• Judith R Huron
• Larry L Hurst, MD
• Vicie Hurst, PH.D.
• Sarah Hurt, LMT, COTA
• Julie M Hurtado Castro, MD
• Gabriel Alexander Hurtado Gomez, M.D.

• Behavior Technician in Orlando, FL
• Providers in Orlando, 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, 2018; 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.