Alexandra L Herrera Mujica

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

23-296874 Issued in FL

Practice address

3357 W Vine St Ste 103
Kissimmee, FL 34741-4664

Phone

(407) 201-6255

Fax

(407) 201-7195

NPI assigned

Oct 11, 2023

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

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.

• Kids Corner Behavior Services Inc

  • Behavior Analyst
  • Saint Cloud, FL
  • NPI 1982133328
  NPD (past)

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1386425726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11116 HEATHCLIFF ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328379123",
            "telephone_number": "321-324-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3357 W VINE ST STE 103",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414664",
            "telephone_number": "407-201-6255",
            "fax_number": "407-201-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA MUJICA",
        "first_name": "ALEXANDRA",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "23-296874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresita Hernandez
• Vilma Yolanda Hernandez, LCSW
• Nicholas Copeland Herold, DO
• Leydi Laura Herrera Herrera
• Javier Alexander Herrera Jimenez
• Miguel Herrera Rodriguez, LCSW
• Lester Herrera Sanchez
• Eduardo Herrera, DC
• Dana Marie Herrington, M.S., CCC-SLP
• Tymeka Hester, RRT

• Behavior Technician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.