Active NPI
Maritza De la Caridad Hernandez Perez, BCBA
- Behavior Analyst
- Greenacres, FL
National Provider Identifier
1750828810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-23-67085
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | 0-19-9766 | FL | |
| Behavior Technician | 106S00000X | 18-50420 | FL | |
| Behavior Analyst | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 18-50420 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Behavior Analyst
- Minneola, FL
- NPI 1629945456
-
- Home Health Agency
- Greenacres, FL
- NPI 1003750233
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.