Active NPI
Anthony Joseph Hernandez
- Behavior Technician
- Orlando, FL
National Provider Identifier
1962187435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 5959 Lake Ellenor Dr Orlando
Orlando, FL 32809 - Phone
- (321) 972-4039
- NPI assigned
- Jun 21, 2023
- Sex
- Male
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
5959 Lake Ellenor Dr Orlando
Orlando, FL 32809
Mailing address
440 Golden Dove Avenue NE
Palm Bay, FL 32907
Phone (321) 614-8810
Other practice location 1
440 Golden Dove Avenue NE
Palm Bay, FL 32907
Phone (321) 614-8810
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687305600000",
"number": "1962187435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 GOLDEN DOVE AVENUE NE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "32907",
"telephone_number": "321-614-8810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5959 LAKE ELLENOR DR ORLANDO",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32809",
"telephone_number": "321-972-4039"
}
],
"practiceLocations": [
{
"address_1": "440 Golden Dove Avenue NE",
"address_purpose": "LOCATION",
"city": "Palm Bay",
"state": "FL",
"postal_code": "32907",
"country_code": "US",
"telephone_number": "321-614-8810",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "ANTHONY",
"middle_name": "JOSEPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-21",
"last_updated": "2023-06-21",
"certification_date": "2023-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.