Kyla Rae Hernandez, M.ED. BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

206 S Orange Ave
Yuma, AZ 85364-2245

Phone

(928) 750-0623

NPI assigned

Mar 25, 2021

Reactivated

Mar 15, 2023

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

Credentials

Master of Education

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.

• Desert ABA Solutions

  • Behavior Analyst
  • Yuma, AZ
  • NPI 1396446258
  NPD Authorized official

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1891372884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4589 S LORA LEE AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853650053",
            "telephone_number": "928-750-0623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 S ORANGE AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853642245",
            "telephone_number": "928-750-0623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 W 16th St # 1017",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853644733",
            "country_code": "US",
            "telephone_number": "855-832-6727",
            "fax_number": "772-675-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "KYLA",
        "middle_name": "RAE",
        "credential": "M.ED. BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-25",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "deactivation_date": "2023-01-12",
        "reactivation_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Alexander Hernandez, MS, PA-C
• Citlaly Hernandez, RN
• Erica Hernandez
• Evelyn Hernandez, FOSTER PARENT
• Karen Valeria Melara Hernandez, MD
• Myriam Hernandez
• Noriani Hernandez
• Peter Hernandez
• Sonia Hernandez, LMT
• Zamira Hernandez, RN

• Behavior Analyst in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Behavior Analyst in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.