Active NPI
Jarret Hernandez
- Behavior Analyst
- North Adams, MA
National Provider Identifier
1417449463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 146.0134308
- Practice address
- 133 Meadow St Apt 2
North Adams, MA 01247-2491 - Phone
- (413) 346-3716
- NPI assigned
- Jun 5, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 146.0134308 | VT | Primary |
Addresses
Primary practice location
133 Meadow St Apt 2
North Adams, MA 01247-2491
Mailing address
17 Willow St
North Adams, MA 01247-4076
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
| License | State | Type | Specialty |
|---|---|---|---|
| 146.0134308 | VT | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680480000000",
"number": "1417449463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 WILLOW ST",
"city": "NORTH ADAMS",
"state": "MA",
"postal_code": "012474076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 MEADOW ST APT 2",
"city": "NORTH ADAMS",
"state": "MA",
"postal_code": "012472491",
"telephone_number": "413-346-3716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "JARRET",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-05",
"last_updated": "2023-04-03",
"certification_date": "2023-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "VT",
"license": "146.0134308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Adams, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.