Andrea Pedral Hernandez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-19-108360 Issued in CA

Practice address

4688 Ontario Mills Pkwy
Ontario, CA 91764-5104

Phone

(714) 834-1111

NPI assigned

Aug 5, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1467062398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4688 ONTARIO MILLS PKWY",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4688 ONTARIO MILLS PKWY",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645104",
            "telephone_number": "714-834-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDRAL HERNANDEZ",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-19-108360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Npi",
            "affiliation": "N",
            "address_1": "4688 Ontario Mills Pkwy",
            "city": "Ontario",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917645104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Npi",
            "affiliation": "N",
            "address_1": "4688 Ontario Mills Pkwy",
            "city": "Ontario",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917645104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Npi",
            "affiliation": "N",
            "address_1": "4688 Ontario Mills Pkwy",
            "city": "Ontario",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917645104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Npi",
            "affiliation": "N",
            "address_1": "4688 Ontario Mills Pkwy",
            "city": "Ontario",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917645104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Npi",
            "affiliation": "N",
            "address_1": "4688 Ontario Mills Pkwy",
            "city": "Ontario",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917645104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Natasha Payne
• Kerry Anne Paysen, LCSW
• Hector Paz Jr
• Sarah Pazmino
• Hayley R Peck, BCBA
• Julian Pedregon
• Francisca Ortiz Pedroza
• Robert Pedroza
• Sofia Pedroza
• Aida Aracely Pelayo, N/A

• Behavior Technician in Ontario, CA
• Providers in Ontario, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.