Active NPI
Evelyn Hernandez Aguilera
- Behavior Technician
- Hialeah, FL
National Provider Identifier
1922458124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-15-08187
- Practice address
- 7110 NW 173Rd Dr Apt 106
Hialeah, FL 33015 - Phone
- (786) 380-1478
- NPI assigned
- Jun 17, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-15-08187 | FL | Primary |
Addresses
Primary practice location
7110 NW 173Rd Dr Apt 106
Hialeah, FL 33015
Mailing address
7110 NW 173Rd Dr Apt 106
Hialeah, FL 33015-5532
Phone (786) 380-1478
Other practice location 1
2500 NW 79th Ave
Suite 212
Doral, FL 33122-1073
Phone (786) 612-7745
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-15-08187 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Passion for Care & Services, Inc | Behavior Analyst | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Behavior Analyst
- Doral, FL
- NPI 1821467531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570492800000",
"number": "1922458124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7110 NW 173RD DR APT 106",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330155532",
"telephone_number": "786-380-1478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7110 NW 173RD DR APT 106",
"city": "HIALEAH",
"state": "FL",
"postal_code": "33015",
"telephone_number": "786-380-1478"
}
],
"practiceLocations": [
{
"address_1": "2500 NW 79th Ave",
"address_2": "SUITE 212",
"address_purpose": "LOCATION",
"city": "Doral",
"state": "FL",
"postal_code": "331221073",
"country_code": "US",
"telephone_number": "786-612-7745",
"fax_number": "888-206-1341",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERNANDEZ AGUILERA",
"first_name": "EVELYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-17",
"last_updated": "2019-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-15-08187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.