Individual provider Active NPI

Lazaro Daniel Oliva Hernandez

  • Behavior Technician
  • North Fort Myers, FL
National Provider Identifier
1346139250
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
13971 Windrush CT Apt 16
North Fort Myers, FL 33903-4272
Phone
(954) 647-6329
Fax
(954) 647-6329
NPI assigned
Jul 2, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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 Primary

Addresses

Primary practice location

13971 Windrush CT Apt 16
North Fort Myers, FL 33903-4272

Mailing address

13971 Windrush CT Apt 16
North Fort Myers, FL 33903-4272
Phone (954) 647-6329

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": "1751414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1346139250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13971 WINDRUSH CT APT 16",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339034272",
            "telephone_number": "954-647-6329",
            "fax_number": "954-647-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13971 WINDRUSH CT APT 16",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339034272",
            "telephone_number": "954-647-6329",
            "fax_number": "954-647-6329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVA HERNANDEZ",
        "first_name": "LAZARO",
        "middle_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-02",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.