Individual provider Active NPI

Kenia Francisca Manso Hernandez

  • Behavior Analyst
  • Palm Springs, FL
National Provider Identifier
1295418226
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
RBT-23-288986 Issued in FL
Practice address
3175 S Congress Ave Ste 203
Palm Springs, FL 33461-2562
Phone
(561) 298-2399
NPI assigned
Aug 8, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X RBT-23-288986 FL Primary

Addresses

Primary practice location

3175 S Congress Ave Ste 203
Palm Springs, FL 33461-2562

Mailing address

4353 Cypress LN
Palm Springs, FL 33406-7521
Phone (502) 296-8577

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-23-288986FLMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1295418226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4353 CYPRESS LN",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334067521",
            "telephone_number": "502-296-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 S CONGRESS AVE STE 203",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334612562",
            "telephone_number": "561-298-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSO HERNANDEZ",
        "first_name": "KENIA",
        "middle_name": "FRANCISCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "RBT-23-288986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.