Raul Hernandez – Behavior Analyst in Groveland, CA

Key facts

NPI: 1700516481
Entity type: Individual (NPI type 1)
Primary specialty: Behavior Analyst 103K00000X
Practice address: 13078 Fox CT
Groveland, CA 95321-9540
Phone: (855) 832-6727
NPI assigned: Jun 15, 2022
Sex: Male
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Behavior Analyst	103K00000X			Yes

Addresses

Primary practice location

13078 Fox CT
Groveland, CA 95321-9540

Mailing address

7108 S Kanner Hwy
Stuart, FL 34997-7462

Other practice location 1

1501 Palo Alto St
Dos Palos, CA 93620-2727
Phone (209) 479-9504

Electronic endpoints

Type	Endpoint	Use	Affiliation
Direct Messaging Address	rahernandez@teampbs.com	Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 15, 2022.

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1700516481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 S KANNER HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349977462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13078 FOX CT",
            "city": "GROVELAND",
            "state": "CA",
            "postal_code": "953219540",
            "telephone_number": "855-832-6727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Palo Alto St",
            "address_purpose": "LOCATION",
            "city": "Dos Palos",
            "state": "CA",
            "postal_code": "936202727",
            "country_code": "US",
            "telephone_number": "209-479-9504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "RAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rahernandez@teampbs.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1501 Palo Alto St",
            "city": "Dos Palos",
            "state": "CA",
            "country_code": "US",
            "postal_code": "936202727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Groveland, CA

All providers in Groveland, CA · Behavior Analyst in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.