Individual provider Active NPI

Marifel Figueroa-Hernandez

  • Behavior Technician
  • Fort Myers, FL
National Provider Identifier
1275201238
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-19-97225 Issued in FL
Practice address
6010 Drexel LN Apt 1110
Fort Myers, FL 33919-5247
Phone
(786) 290-4122
NPI assigned
Sep 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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 RBT-19-97225 FL Primary

Addresses

Primary practice location

6010 Drexel LN Apt 1110
Fort Myers, FL 33919-5247

Mailing address

6010 Drexel LN Apt 1110
Fort Myers, FL 33919-5247
Phone (786) 290-4122

Other identifiers 1

IdentifierTypeStateIssuer
104655700MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address marifel@abaofswf.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

LicenseStateTypeSpecialty
RBT-19-97225FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1275201238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 DREXEL LN APT 1110",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339195247",
            "telephone_number": "786-290-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 DREXEL LN APT 1110",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339195247",
            "telephone_number": "786-290-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIGUEROA-HERNANDEZ",
        "first_name": "MARIFEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-19-97225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104655700",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marifel@abaofswf.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6010 Drexel Ln Apt 1110",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339195247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.