Active NPI
Luis Felipe Hernandez George, RBT-21-157451
- Behavior Technician
- Lehigh Acres, FL
National Provider Identifier
1336867308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 3808 33Rd St SW
Lehigh Acres, FL 33976-4212 - Phone
- (239) 337-3511
- NPI assigned
- Aug 16, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | FL | Primary |
Addresses
Primary practice location
3808 33Rd St SW
Lehigh Acres, FL 33976-4212
Mailing address
3114 41St St SW
Naples, FL 34116-8324
Phone (786) 569-0092
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662422400000",
"number": "1336867308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3114 41ST ST SW",
"city": "NAPLES",
"state": "FL",
"postal_code": "341168324",
"telephone_number": "786-569-0092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3808 33RD ST SW",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339764212",
"telephone_number": "239-337-3511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ GEORGE",
"first_name": "LUIS",
"middle_name": "FELIPE",
"credential": "RBT-21-157451",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-16",
"last_updated": "2022-09-06",
"certification_date": "2022-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lehigh Acres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.