Individual provider Active NPI

Lisandra Valdes Hernandez

  • Behavior Technician
  • Pembroke Pines, FL
National Provider Identifier
1285274043
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-19-108303 Issued in FL
Practice address
556 NW 208TH Way
Pembroke Pines, FL 33029-2154
Phone
(786) 774-7729
NPI assigned
Jan 9, 2020
Last updated
Jan 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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-19-108303 FL Primary

Addresses

Primary practice location

556 NW 208TH Way
Pembroke Pines, FL 33029-2154

Mailing address

6750 W 22ND LN
Hialeah, FL 33016-3915
Phone (305) 560-0536

Other practice location 1

6750 W 22nd Ln
Hialeah, FL 33016-3915
Phone (305) 560-0536

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-19-108303FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Methods LLC CurrentSince Sep 1, 2021 Accepting new patients
Integrative Methods LLC CurrentSince Apr 1, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1285274043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 W 22ND LN",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330163915",
            "telephone_number": "305-560-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 NW 208TH WAY",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292154",
            "telephone_number": "786-774-7729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6750 W 22nd Ln",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330163915",
            "country_code": "US",
            "telephone_number": "305-560-0536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALDES HERNANDEZ",
        "first_name": "LISANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-19-108303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.