Citlalli Joan Hernandez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

8725 S 212TH St
Kent, WA 98031-1921

Phone

(425) 658-3016

NPI assigned

Jun 13, 2022

Last updated

Jun 13, 2022By the provider in NPPES

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

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1871223842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 S 268TH ST UNIT 25",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981989251",
            "telephone_number": "818-214-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8725 S 212TH ST",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980311921",
            "telephone_number": "425-658-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "CITLALLI",
        "middle_name": "JOAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Choua Her, R.PH.
• Heramba Mental Healthcare, PLLC
• Heritage Medical Staffing Inc
• Linda Marie Herman, M.ED., ED.S., LMHC
• Leslie Hernandez-Garcia
• Tracy Hernandez
• Charles S Herndon, LSW
• Ela Linelva Herrera Escoto
• Ana K Herrera- Cruz
• Erin Louise Herringshaw, LPN

• Behavior Technician in Kent, WA
• Providers in Kent, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.