Individual provider Active NPI

Fabiola Hernandez, RBT

  • Behavior Technician
  • South Miami, FL
National Provider Identifier
1609549310
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-21-166959 Issued in FL
Practice address
7241 SW 63Rd Ave Ste 101a
South Miami, FL 33143-4838
Phone
(786) 518-8708
Fax
(833) 817-6434
NPI assigned
Jul 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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 RBT-21-166959 FL Primary

Addresses

Primary practice location

7241 SW 63Rd Ave Ste 101a
South Miami, FL 33143-4838

Mailing address

7241 SW 63Rd Ave Ste 101a
South Miami, FL 33143-4838
Phone (786) 518-8708

Other identifiers 1

IdentifierTypeStateIssuer
RBT-21-166959OtherFLBACB

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL WWW.BLOSSOMABAMIAMI.COM Direct

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

LicenseStateTypeSpecialty
RBT-21-166959FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1609549310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7241 SW 63RD AVE STE 101A",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434838",
            "telephone_number": "786-518-8708",
            "fax_number": "833-817-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7241 SW 63RD AVE STE 101A",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434838",
            "telephone_number": "786-518-8708",
            "fax_number": "833-817-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "FABIOLA",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-21-166959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "RBT-21-166959",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.BLOSSOMABAMIAMI.COM",
            "affiliation": "N",
            "endpointDescription": "WEBSITE",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7241 SW 63rd Ave Ste 101A",
            "city": "South Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331434838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.

Verify at the official NPI Registry.