Individual provider Active NPI

William Hernandez Blondin, BCBA

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1659943181
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-23-69460 Issued in FL
Practice address
8300 NW 53Rd St Ste 350
Miami, FL 33166-7712
Phone
(305) 776-0728
Fax
(561) 828-3124
NPI assigned
Jul 14, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X BCABA-0-23-14407 FL
Behavior Technician 106S00000X RBT-21-159459 FL
Behavior Analyst 103K00000X 1-23-69460 FL Primary

Addresses

Primary practice location

8300 NW 53Rd St Ste 350
Miami, FL 33166-7712

Mailing address

150 NW 60TH Ave
Miami, FL 33126-4756
Phone (786) 308-8207

Other practice location 1

6405 NW 36th St
Virginia Gardens, FL 33166-6974
Phone (786) 953-8500

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-21-159459FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Plus Inc, Behavior Analyst CurrentSince Jul 1, 2021 Accepting new patients
Green Hope Behavioral Services Behavior Analyst CurrentSince Dec 3, 2023 Accepting new patients
Behavior Therapy of Florida Inc. Behavior Analyst Past Accepting new patients

Locations

8300 NW 53rd St
Ste 350
Miami, FL 33166
Phone (305) 742-2195

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1659943181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 NW 60TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331264756",
            "telephone_number": "786-308-8207",
            "fax_number": "561-828-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 NW 53RD ST STE 350",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331667712",
            "telephone_number": "305-776-0728",
            "fax_number": "561-828-3124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6405 NW 36th St",
            "address_purpose": "LOCATION",
            "city": "Virginia Gardens",
            "state": "FL",
            "postal_code": "331666974",
            "country_code": "US",
            "telephone_number": "786-953-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ BLONDIN",
        "first_name": "WILLIAM",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-14",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "BCABA-0-23-14407",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-21-159459",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-23-69460",
            "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 Dec 18, 2023; 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.