Mildred Milagros Fernandez, MA FL-CBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

9542 Brackin Street
Orlando, FL 32825

Phone

(407) 579-2507

NPI assigned

May 18, 2017

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

Credentials

Master of Arts

Practice roles

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.

• Behaverus Inc.

  • Developmental Disabilities Clinic/Center
  • Orlando, FL
  • NPI 1073840351
  NPD (past) Authorized official

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1780111997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9542 BRACKIN ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328256124",
            "telephone_number": "407-579-2507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9542 BRACKIN STREET",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32825",
            "telephone_number": "407-579-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "MILDRED",
        "middle_name": "MILAGROS",
        "name_prefix": "Ms.",
        "credential": "MA FL-CBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-18",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Fernandez
• Marlene Fernandez, PA-C, MPAS
• Marlene Fernandez, DO
• Mary Mae B Fernandez, PT
• Miguel Jacobo Fernandez, MD
• Paulette Fernandez, APRN
• Shujen T Fernandez, ARNP-C, CCRN
• Tiffany Fernandez
• Fernando L Gomez MD PA
• Ferncreek Healing Center, LLC

• Behavior Analyst in Orlando, FL
• Providers in Orlando, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; 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.