Individual provider Active NPI

Ailen Herrera Sr.

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1538516364
Registry record updated May 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
180 SW 63Rd Ave
Miami, FL 33144-3114
Phone
(786) 523-5242
NPI assigned
May 23, 2016
Last updated
May 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 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 NU Primary

Addresses

Primary practice location

180 SW 63Rd Ave
Miami, FL 33144-3114

Mailing address

180 SW 63Rd Ave
Miami, FL 33144-3114
Phone (786) 523-5242

Other practice location 1

7855 NW 12th St # 117
Doral, FL 33126-1826
Phone (305) 742-2190

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": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1538516364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 SW 63RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331443114",
            "telephone_number": "786-523-5242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 SW 63RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331443114",
            "telephone_number": "786-523-5242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7855 NW 12th St # 117",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331261826",
            "country_code": "US",
            "telephone_number": "305-742-2190",
            "fax_number": "305-742-2189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "AILEN",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "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 May 9, 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.