Individual provider Active NPI

Lillianne Hernandez Quiala

  • Behavior Technician
  • Homestead, FL
National Provider Identifier
1669020863
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-19-93534 Issued in FL
Practice address
24922 SW 118TH CT
Homestead, FL 33032-3311
Phone
(786) 909-1524
NPI assigned
Aug 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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-19-93534 FL Primary

Addresses

Primary practice location

24922 SW 118TH CT
Homestead, FL 33032-3311

Mailing address

24922 SW 118TH CT
Homestead, FL 33032-3311
Phone (786) 909-1524

Other practice location 1

4574 SE Dixie Hwy
Stuart, FL 34997-6826
Phone (786) 909-1524

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-19-93534FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Unique ABA Horizons LLC CurrentSince Sep 20, 2020 Accepting new patients

Organizations & group practices 1

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": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1669020863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24922 SW 118TH CT",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330323311",
            "telephone_number": "786-909-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24922 SW 118TH CT",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330323311",
            "telephone_number": "786-909-1524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4574 SE Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349976826",
            "country_code": "US",
            "telephone_number": "786-909-1524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ QUIALA",
        "first_name": "LILLIANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-30",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-19-93534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.