Samuel Hernandez Carmenate

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-25-86214 Issued in FL

Practice address

566 SE Port St Lucie Blvd
Port St Lucie, FL 34984-5108

Phone

(772) 202-0173

NPI assigned

Aug 29, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• ABA Dynamic Learning LLC

  • Behavior Analyst
  • Palm Bay, FL
  • NPI 1972455756
  NPD Authorized official
• Sam Dynamic LLC

  • Behavior Analyst
  • Palm Bay, FL
  • NPI 1811840721
  NPD Authorized official
• Be Here Now LLC

  • Behavior Analyst
  • Port St Lucie, FL
  • NPI 1700650876
  NPD
• Rainbow of Life Behavioral Health Center, LLC

  • Behavior Analyst
  • Lake Worth, FL
  • NPI 1841837713
  NPD (past)

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1821873803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 SAXONY RD SW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329081106",
            "telephone_number": "561-497-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 SE PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349845108",
            "telephone_number": "772-202-0173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Robert J Conlan Blvd NE Ste 120-10",
            "address_purpose": "LOCATION",
            "city": "Palm Bay",
            "state": "FL",
            "postal_code": "329053502",
            "country_code": "US",
            "telephone_number": "321-361-8613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ CARMENATE",
        "first_name": "SAMUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-29",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-23-285552",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-25-86214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly H Henry, P.T.
• Stephanie Henry
• Bruna Herbert
• Liliya Heretsun-Roussonicolos
• Hermez Empire LLC
• Maridalys Hernandez Chinea
• Adriana Hernandez Corrales, DMD
• Carolina Hernandez Espino
• Yanelis Hernandez Gonzalez
• Brenda Hernandez Reyes

• Behavior Analyst in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.