Active NPI
Mariela Lucila Hernandez Amador, RBT
- Behavior Technician
- Tampa, FL
National Provider Identifier
1235764028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-20-114217
- Practice address
- 9704 Weeping Cherry CT
Tampa, FL 33635-1087 - Phone
- (813) 570-4780
- NPI assigned
- Mar 11, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-20-114217 | FL | Primary |
Addresses
Primary practice location
9704 Weeping Cherry CT
Tampa, FL 33635-1087
Mailing address
9704 Weeping Cherry CT
Tampa, FL 33635-1087
Phone (813) 570-4780
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | marielalucila68@gmail.com | Direct | |
| CONNECT URL | marielalucila68@gmail.com | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-20-114217 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583884800000",
"number": "1235764028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9704 WEEPING CHERRY CT",
"city": "TAMPA",
"state": "FL",
"postal_code": "336351087",
"telephone_number": "813-570-4780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9704 WEEPING CHERRY CT",
"city": "TAMPA",
"state": "FL",
"postal_code": "336351087",
"telephone_number": "813-570-4780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ AMADOR",
"first_name": "MARIELA",
"middle_name": "LUCILA",
"credential": "RBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-11",
"last_updated": "2020-03-11",
"certification_date": "2020-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-20-114217",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "marielalucila68@gmail.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "9704 Weeping Cherry Ct",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336351087",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "marielalucila68@gmail.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "9704 Weeping Cherry Ct",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336351087",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.