Vanessa Hevia

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

19108106 Issued in FL

Practice address

1521 Forest Hill Blvd Ste 3
Lake Clarke Shores, FL 33406-6031

Phone

(561) 444-2814

Fax

(561) 444-2458

NPI assigned

Dec 7, 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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Brighter Minds Behavioral Health, LLC.

  • Behavior Analyst
  • West Palm Beach, FL
  • NPI 1255846838
  NPD (past)

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1568068369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 LONGFELLOW DR",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334612020",
            "telephone_number": "561-398-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 FOREST HILL BLVD STE 3",
            "city": "LAKE CLARKE SHORES",
            "state": "FL",
            "postal_code": "334066031",
            "telephone_number": "561-444-2814",
            "fax_number": "561-444-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEVIA",
        "first_name": "VANESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2022-05-19",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "19108106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105268700",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "vhlarralde81@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "145 Longfellow Dr",
            "city": "Palm Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334612020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Forrest P Harvey Jr., D.C
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• Megan Heller
• Liset Hernandez Pacin
• Mario Hernandez, D.D.S
• Infinity Solutions Treatment Center Inc.
• Israel Machin MD PA
• Adrian Lynn James
• Mara Judith Kullman
• Yoanny Lopez

• Behavior Technician in Lake Clarke Shores, FL
• Providers in Lake Clarke Shores, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.