Erika Rubenia Hernandez

Individual provider Active NPI Behavior Technician · Deerfield BCH, FL

NPI 1932692001 · NPPES record last updated Oct 5, 2018

Key facts

NPI
1932692001
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
500 Fairway Dr Ste 102
Deerfield BCH, FL 33441
Phone
(954) 603-7885
NPI assigned
Jun 12, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Foundations Therapy, Inc. Past Accepting new patients
Foundations Therapy, Inc. Past
since Feb 6, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X FL Yes

Addresses

Primary practice location

500 Fairway Dr Ste 102
Deerfield BCH, FL 33441

Mailing address

500 Fairway Dr Ste 102
Deerfield BCH, FL 33441-1817
Phone (954) 603-7885

Other practice location 1

3325 N University Dr
Coral Springs, FL 33065-4162
Phone (954) 344-6550

Other identifiers

IdentifierTypeStateIssuer
RBT-18-60315MedicaidFL

Other providers in Deerfield BCH, FL

All providers in Deerfield BCH, FL · Behavior Technician in Florida

Sources for this page

Verify at the official NPI Registry.