Individual provider Active NPI

Annie Delia Hernandez

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1295563872
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
24345401 Issued in FL
Practice address
12485 SW 137TH Ave Ste 106
Miami, FL 33186-4215
Phone
(786) 250-4423
NPI assigned
Jul 24, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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 24345401 FL Primary

Addresses

Primary practice location

12485 SW 137TH Ave Ste 106
Miami, FL 33186-4215

Mailing address

21374 SW 112TH Ave
Cutler Bay, FL 33189-2939
Phone (786) 626-2058

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
24345401FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Better Future Behavioral Therapy CurrentSince Jul 28, 2024 Accepting new patients

Locations

12485 SW 137th Ave
Ste 106
Miami, FL 33186
Phone (786) 250-4423

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1295563872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21374 SW 112TH AVE",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331892939",
            "telephone_number": "786-626-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12485 SW 137TH AVE STE 106",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864215",
            "telephone_number": "786-250-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ANNIE",
        "middle_name": "DELIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "24345401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.