Individual provider Active NPI

Maritza De la Caridad Hernandez Perez, BCBA

  • Behavior Analyst
  • Greenacres, FL
National Provider Identifier
1750828810
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-23-67085 Issued in FL
Practice address
6415 Lake Worth Rd Ste 204
Greenacres, FL 33463-2904
Phone
(561) 771-9561
Fax
(800) 766-3139
NPI assigned
Jan 27, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 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 0-19-9766 FL
Behavior Technician 106S00000X 18-50420 FL
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-23-67085 FL Primary

Addresses

Primary practice location

6415 Lake Worth Rd Ste 204
Greenacres, FL 33463-2904

Mailing address

444 Alemeda Dr
Palm Springs, FL 33461-1504
Phone (561) 307-3589

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
18-50420FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Angels Therapy Services Inc Behavior Analyst Current Accepting new patients
Yahweh Jireh Home Health Services Inc Current Accepting new patients

Organizations & group practices 2

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": "1485475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1750828810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 ALEMEDA DR",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334611504",
            "telephone_number": "561-307-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6415 LAKE WORTH RD STE 204",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334632904",
            "telephone_number": "561-771-9561",
            "fax_number": "800-766-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ PEREZ",
        "first_name": "MARITZA",
        "middle_name": "DE LA CARIDAD",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-27",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-19-9766",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "18-50420",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-23-67085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.