Kouta Martin Hernandez, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1820 1St Dr
Charleston, SC 29407-5756

Phone

(252) 347-7823

Fax

(888) 808-4249

NPI assigned

Mar 14, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1386403202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80901",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294160901",
            "telephone_number": "252-347-7823",
            "fax_number": "888-808-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 1ST DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075756",
            "telephone_number": "252-347-7823",
            "fax_number": "888-808-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "KOUTA",
        "middle_name": "MARTIN",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine L Hermayer, MD
• Peyton Hermodsson
• Camila Hernandez, MD
• Ivana Hernandez, DO
• Kira Hernandez
• Manuel Hernandez, MS
• Kathleen Nmi Herold, MED, LPC
• Herolds Pharmacy LLC
• Diana Herr, D.C.
• Holly Haldan Herr, PA

• Behavior Technician in Charleston, SC
• Providers in Charleston, SC by specialty
• Behavior Technician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.