Active NPI
Groslamy Hernandez Vega
- Behavior Analyst
- Wilton Manors, FL
National Provider Identifier
1811529670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-78575
- Practice address
- 715 NW 30TH CT Apt 1
Wilton Manors, FL 33311-1735 - Phone
- (754) 248-1798
- NPI assigned
- Feb 10, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-24-78575 | FL | Primary |
| Behavior Technician | 106S00000X | 19-109094 | FL |
Addresses
Primary practice location
715 NW 30TH CT Apt 1
Wilton Manors, FL 33311-1735
Mailing address
715 NW 30TH CT Apt 1
Wilton Manors, FL 33311-1735
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 |
|---|---|---|---|
| 19-109094 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737072000000",
"number": "1811529670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 NW 30TH CT APT 1",
"city": "WILTON MANORS",
"state": "FL",
"postal_code": "333111735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 NW 30TH CT APT 1",
"city": "WILTON MANORS",
"state": "FL",
"postal_code": "333111735",
"telephone_number": "754-248-1798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ VEGA",
"first_name": "GROSLAMY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-10",
"last_updated": "2025-01-17",
"certification_date": "2025-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-24-78575",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "19-109094",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilton Manors, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.