Judith Fernandez, RBT, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-56397 Issued in FL

Practice address

2977 Magnolia St
Fort Myers, FL 33901-6012

Phone

(239) 895-5014

NPI assigned

Jun 17, 2020

Sex

Female

Sole proprietor

Yes

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

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.

• Thunder Minds Inc

  • Behavior Analyst
  • North Fort Myers, FL
  • NPI 1497534390
  NPD Authorized official
• Thunder Minds Inc

  • Occupational Therapist
  • North Fort Myers, FL
  • NPI 1811862030
  NPD Authorized official

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1902422892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2977 MAGNOLIA ST",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339016012",
            "telephone_number": "239-895-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2977 MAGNOLIA ST",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339016012",
            "telephone_number": "239-895-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "JUDITH",
        "credential": "RBT, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-17",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-119889",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-56397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ignacio Fernandez-Mejia
• Veronique Fernandez-Salvador, MD
• Carmen Maria Fernandez, D.O
• Joceline Fernandez
• Juan Carlos Fernandez, MD
• Maria de la Paz Fernandez
• Mariam Fernandez
• Yarmarel Fernandez
• Kalugamage Ranjit Fernando, M.D.
• Abusayeed Muhammad Feroz, M.D.

• Behavior Analyst in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.