Laura Polo Hernandez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB1045170 Issued in FL

Practice address

8335 SW 152ND Ave Apt B-102
Miami, FL 33193-4015

Phone

(786) 783-8912

NPI assigned

Mar 21, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1700646205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8335 SW 152 AVE",
            "address_2": "APTO B 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33193",
            "telephone_number": "786-783-8912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8335 SW 152ND AVE APT B-102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331934015",
            "telephone_number": "786-783-8912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLO HERNANDEZ",
        "first_name": "LAURA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "BACB1045170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Solangel Pollock, MD
• Jessica Lynn Pollow, DO
• Lilian Polo Egana
• Judith Cristina Polo Gonzalez I
• Javier Polo Hernandez
• Lorena Polo Iglesias
• Maiyen Polo Sosa
• Carmen R Polo Suarez
• Raciel Juan Polo Valdes
• Jose Emilio Polo-Madero, RBT

• Behavior Technician in Miami, FL
• Providers in Miami, FL by specialty
• Behavior Technician in Florida

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