Active NPI
Marilin Hernandez
- Assistant Behavior Analyst
- Miami, FL
National Provider Identifier
1447802079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- 0-21-12623
- Practice address
- 5077 NW 7TH St Apt 518
Miami, FL 33126-3462 - Phone
- (786) 325-6075
- NPI assigned
- Jul 13, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | RBT1869194 | FL | |
| Assistant Behavior Analyst | 106E00000X | 0-21-12623 | FL | Primary |
Addresses
Primary practice location
5077 NW 7TH St Apt 518
Miami, FL 33126-3462
Mailing address
5077 NW 7TH St Apt 518
Miami, FL 33126-3462
Phone (786) 325-6075
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021501900 | Medicaid | FL | |
| 0-21-12623 | Other | FL | BOARD CERTIFIED ASSISTANT BEHAVIOR ANALYST |
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 |
|---|---|---|---|
| RBT1869194 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bless My Mind ABA Therapy Corp | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Behavior Analyst
- Miami Lakes, FL
- NPI 1992414965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635292800000",
"number": "1447802079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5077 NW 7TH ST APT 518",
"city": "MIAMI",
"state": "FL",
"postal_code": "331263462",
"telephone_number": "786-325-6075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5077 NW 7TH ST APT 518",
"city": "MIAMI",
"state": "FL",
"postal_code": "331263462",
"telephone_number": "786-325-6075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "MARILIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-13",
"last_updated": "2021-10-27",
"certification_date": "2020-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT1869194",
"primary": false
},
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "FL",
"license": "0-21-12623",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021501900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD CERTIFIED ASSISTANT BEHAVIOR ANALYST",
"identifier": "0-21-12623",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.