Active NPI
Alesen Hernandez
- Behavior Technician
- Daytona Beach Shores, FL
National Provider Identifier
1972370245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB1022466
- Practice address
- 3408 S Atlantic Ave # Pmd1052
Daytona Beach Shores, FL 32118-6311 - Phone
- (386) 767-3752
- Fax
- (386) 767-4319
- NPI assigned
- Dec 7, 2023
- Sex
- Female
- 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 | BACB1022466 | FL | Primary |
Addresses
Primary practice location
3408 S Atlantic Ave # Pmd1052
Daytona Beach Shores, FL 32118-6311
Mailing address
3408 S Atlantic Ave
Daytona Beach Shores, FL 32118-6311
Phone (386) 767-3752
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 |
|---|---|---|---|
| BACB1022466 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701907200000",
"number": "1972370245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3408 S ATLANTIC AVE",
"city": "DAYTONA BEACH SHORES",
"state": "FL",
"postal_code": "321186311",
"telephone_number": "386-767-3752",
"fax_number": "386-767-4319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3408 S ATLANTIC AVE # PMD1052",
"city": "DAYTONA BEACH SHORES",
"state": "FL",
"postal_code": "321186311",
"telephone_number": "386-767-3752",
"fax_number": "386-767-4319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "ALESEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-07",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "BACB1022466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daytona Beach Shores, FL
- Gerald R Woodard DO PA (Shores Medical Center Daytona)
- Lauren A Girard, DO
- Jamera F Givens
- Hassan Alkhatib MD PA
- Heritage Waterside
- Holiday CVS LLC (CVS Pharmacy 03614)
- Dolores Slavin Holleman, CME
- Inner Riches Osteopathic Medical Associates Inc
- Tara James, FNP
- Joanne Eash Chiropractic LLC (Daytona Beach Shores Chiropractic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.