Individual provider Active NPI

Alexandra Hernandez, BCBA,LBA

  • Behavior Analyst
  • Phoenix, AZ
National Provider Identifier
1871162636
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BEH-001185 Issued in AZ
Practice address
4801 E McDowell Rd Ste 175
Phoenix, AZ 85008-7725
Phone
(480) 478-0444
NPI assigned
Jun 24, 2021
Last updated
May 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BEH-001185 AZ Primary

Addresses

Primary practice location

4801 E McDowell Rd Ste 175
Phoenix, AZ 85008-7725

Mailing address

4801 E McDowell Rd Ste 175
Phoenix, AZ 85008-7725
Phone (480) 478-0444

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

LicenseStateTypeSpecialty
BEH-001185AZMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Autism Center, LLC Behavior Analyst CurrentSince May 26, 2024 Accepting new patients

Locations

13934 N 59th Ave
Ste 160
Glendale, AZ 85306
Phone (480) 478-0444

3303 N 44th St
Phoenix, AZ 85018
Phone (480) 478-0444

4560 N 19th Ave
Phoenix, AZ 85015
Phone (480) 478-0444

4801 E McDowell Rd
Ste 175
Phoenix, AZ 85008
Phone (480) 478-0444

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1871162636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 E MCDOWELL RD STE 175",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850087725",
            "telephone_number": "480-478-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 E MCDOWELL RD STE 175",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850087725",
            "telephone_number": "480-478-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ALEXANDRA",
        "credential": "BCBA,LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "BEH-001185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.