Active NPI
Elizabeth Hidalgo
- Assistant Behavior Analyst
- Port St Lucie, FL
National Provider Identifier
1659025260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- 21-175039
- Practice address
- 11415 SW Discovery Way
Port St Lucie, FL 34987-2577 - Phone
- (786) 804-8843
- NPI assigned
- Feb 11, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | 21-175039 | FL | Primary |
Addresses
Primary practice location
11415 SW Discovery Way
Port St Lucie, FL 34987-2577
Mailing address
11415 SW Discovery Way
Port St Lucie, FL 34987-2577
Phone (786) 804-8843
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
| License | State | Type | Specialty |
|---|---|---|---|
| 21-175039 | FL | MD | Assistant Behavior Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644537600000",
"number": "1659025260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11415 SW DISCOVERY WAY",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349872577",
"telephone_number": "786-804-8843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11415 SW DISCOVERY WAY",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349872577",
"telephone_number": "786-804-8843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIDALGO",
"first_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-11",
"last_updated": "2022-02-11",
"certification_date": "2022-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Assistant Behavior Analyst",
"state": "FL",
"license": "21-175039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.