Active NPI
Ileana Aguinaga Fernandez
- Behavior Analyst
- Miramar, FL
National Provider Identifier
1801300827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 15241 SW 50TH St
Miramar, FL 33027-3604 - Phone
- (954) 743-7919
- NPI assigned
- Nov 29, 2017
- Last updated
- Jun 30, 2021
- 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 | 0-20-10877 | FL | |
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
15241 SW 50TH St
Miramar, FL 33027-3604
Mailing address
15241 SW 50TH St
Miramar, FL 33027-3604
Phone (954) 743-7919
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Cusp Specialists Inc | Behavior Analyst | Current | Accepting new patients |
| Behaving Properly LLC | Behavior Analyst | Current | Accepting new patients |
| Ekilibrium, Inc. | Behavior Analyst | Past | Accepting new patients |
| Ekilibrium, Inc. | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Miramar, FL
- NPI 1720651243
-
- Behavior Analyst
- Miramar, FL
- NPI 1043916562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625011200000",
"number": "1801300827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15241 SW 50TH ST",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330273604",
"telephone_number": "954-743-7919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15241 SW 50TH ST",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330273604",
"telephone_number": "954-743-7919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUINAGA FERNANDEZ",
"first_name": "ILEANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-29",
"last_updated": "2021-06-30",
"certification_date": "2021-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "FL",
"license": "0-20-10877",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.