Individual provider Active NPI

Jian Carlos Hernandez Oliva

  • Behavior Technician
  • Zephyrhills, FL
National Provider Identifier
1407690613
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
24-352716 Issued in FL
Practice address
38433 Alston Ave
Zephyrhills, FL 33542-7807
Phone
(305) 684-1996
NPI assigned
Jun 21, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 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 24-352716 FL Primary

Addresses

Primary practice location

38433 Alston Ave
Zephyrhills, FL 33542-7807

Mailing address

38433 Alston Ave
Zephyrhills, FL 33542-7807
Phone (305) 684-1996

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
24-352716FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1407690613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38433 ALSTON AVE",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335427807",
            "telephone_number": "305-684-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38433 ALSTON AVE",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335427807",
            "telephone_number": "305-684-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ OLIVA",
        "first_name": "JIAN",
        "middle_name": "CARLOS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "24-352716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.