Individual provider Active NPI

Betsy Fernandez

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1508376575
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
2730 NW 30TH St
Miami, FL 33142-6404
Phone
(786) 328-9986
NPI assigned
Oct 4, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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 FL Primary

Addresses

Primary practice location

2730 NW 30TH St
Miami, FL 33142-6404

Mailing address

13205 SW 137TH Ave Ste 222
Miami, FL 33186-5336

Other practice location 1

640 W Palm Dr Ste D
Florida City, FL 33034-3237
Phone (786) 410-8922

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

NPI Registry JSON

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1508376575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13205 SW 137TH AVE STE 222",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 NW 30TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331426404",
            "telephone_number": "786-328-9986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 W Palm Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Florida City",
            "state": "FL",
            "postal_code": "330343237",
            "country_code": "US",
            "telephone_number": "786-410-8922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "BETSY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-04",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 20, 2018; 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.