Hailenys Fajardo Guerra

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-18-55091

Practice address

10320 SW 35TH Ter
Miami, FL 33165

Phone

(305) 972-6393

NPI assigned

Oct 12, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Ayuda Health Partners

  dba Ayuda Autism Services

  • Behavior Analyst
  • Nashville, TN
  • NPI 1275465742
  NPD Authorized official

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1265943666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10320 SW 35TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653854",
            "telephone_number": "305-972-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10320 SW 35TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33165",
            "telephone_number": "305-972-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAJARDO GUERRA",
        "first_name": "HAILENYS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-12",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "RBT-18-55091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
            "identifier": "RBT-18-55091",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022631700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faith Therapy LLC
• Faithfulness Care LLC
• Yovanit Fajardo Aquino, DNM, FNP-BC, ARNP
• Denisse Maria Fajardo Cardoso
• Etieneth Carolina Fajardo Gomez
• Alejandro Fajardo Maceo
• Patricia Fajardo Miranda
• Grethel Fajardo Perez, BC BA
• Daniel Fajardo Puerto
• Nara Fajardo Salazar

• Behavior Technician in Miami, FL
• Providers in Miami, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.