Individual provider Active NPI

Bianca Felice Hernandez, BCBA

  • Behavior Analyst
  • Sunrise, FL
National Provider Identifier
1447658620
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
12044413 Issued in FL
Practice address
212 SW 159TH Way
Sunrise, FL 33326-2276
Phone
(954) 294-7310
NPI assigned
Dec 20, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 12044413 FL Primary

Addresses

Primary practice location

212 SW 159TH Way
Sunrise, FL 33326-2276

Mailing address

212 SW 159TH Way
Sunrise, FL 33326-2276
Phone (954) 294-7310

Other practice location 1

6104 SW 192nd Ave
Fort Lauderdale, FL 33332-3381
Phone (954) 294-7310

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
12044413FLMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Behavioral Health, Inc. Behavior Analyst Current Accepting new patients
Pediatric Behavior Therapies, LLC Behavior Analyst Past Accepting new patients

Locations

7900 Oak Ln
Ste 400
Miami Lakes, FL 33016
Phone (203) 350-2116

2200 N Commerce Pkwy
Ste 200
Weston, FL 33326
Phone (305) 898-9707

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1419033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1447658620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 SW 159TH WAY",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333262276",
            "telephone_number": "954-294-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 SW 159TH WAY",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333262276",
            "telephone_number": "954-294-7310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6104 SW 192nd Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333323381",
            "country_code": "US",
            "telephone_number": "954-294-7310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "BIANCA",
        "middle_name": "FELICE",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-20",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "12044413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; 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.