Individual provider Active NPI

Bertha Isabel Hernandez Leon, RBT

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1629738927
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-19-85912
Practice address
6270 West Flagler St Apt B-13
Miami, FL 33144-3046
Phone
(786) 805-7851
NPI assigned
Dec 28, 2021
Last updated
Dec 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 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-19-85912 Primary

Addresses

Primary practice location

6270 West Flagler St Apt B-13
Miami, FL 33144-3046

Mailing address

6270 West Flagler St Apt B-13
Miami, FL 33144-3046
Phone (786) 805-7851

Other identifiers 1

IdentifierTypeStateIssuer
103958300MedicaidFL

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": "1640649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1629738927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6270 WEST FLAGLER ST APT B-13",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331443046",
            "telephone_number": "786-805-7851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6270 WEST FLAGLER ST APT B-13",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331443046",
            "telephone_number": "786-805-7851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ LEON",
        "first_name": "BERTHA",
        "middle_name": "ISABEL",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "RBT-19-85912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103958300",
            "state": "FL"
        }
    ],
    "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 Dec 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.