Individual provider Active NPI

Niurvict Hernandez, BCBA

  • Behavior Analyst
  • Cooper City, FL
National Provider Identifier
1942700638
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-39891 Issued in FL
Practice address
10029 SW 49TH PL
Cooper City, FL 33328-4016
Phone
(305) 505-1476
NPI assigned
Feb 19, 2018
Last updated
Jan 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Developmental Therapist 222Q00000X
Behavior Analyst 103K00000X 1-19-39891 FL Primary

Addresses

Primary practice location

10029 SW 49TH PL
Cooper City, FL 33328-4016

Mailing address

10029 SW 49TH PL
Cooper City, FL 33328-4016
Phone (305) 505-1476

Other practice location 1

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

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

Practice roles

OrganizationSpecialtyStatusNew patients
Foundations Therapy, Inc. PastSince Feb 6, 2022 Accepting new patients
Developmental Applied Behavior Solutions, Inc Behavior Analyst Past Accepting new patients
Foundations Therapy, Inc. Past Accepting new patients
Two Hearts MHC Inc Behavior Analyst Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1942700638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10029 SW 49TH PL",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333284016",
            "telephone_number": "305-505-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10029 SW 49TH PL",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333284016",
            "telephone_number": "305-505-1476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3325 N University Dr",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "33065",
            "country_code": "US",
            "telephone_number": "954-344-6550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "NIURVICT",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-19",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-19-39891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cooper City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.