LUIS FERNANDO HERNANDEZ (NPI# 1356958516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356958516 |
| Entity Type | Individual |
| Full Name | LUIS FERNANDO HERNANDEZ |
| Credential | BA, RBT |
| Practice Address |
6635 E 21st St Indianapolis IN 46219-2254 |
| Mailing Address |
3500 Depauw Blvd Ste 3070 Indianapolis IN 46268-6135 |
| Practice Telephone | 3176082824 |
| Practice Fax Number | 3175208200 |
| Mailing Telephone | 8553240885 |
| Mailing Fax Number | 3175208200 |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-20-135163 | IN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134753601 | Luis Ariel Hernandez | Community/Behavioral Health | 6000 Fairview Rd # 1259, Charlotte, NC 28210-2224 | 2020-02-24 |
| 1871152389 | Luis Daniel Hernandez | Social Worker | 1819 Peachtree Rd Ne Ste 450, Atlanta, GA 30309-1853 | 2019-06-08 |
| 1811469547 | Luis Gilberto Hernandez | Psychologist | 2667 Brahms Ave, San Jose, CA 95122-1306 | 2018-12-19 |
| 1841786977 | Luis Manuel Hernandez | Dental Assistant | 4825 Oak St, Pico Rivera, CA 90660-2249 | 2018-07-01 |
| 1942797113 | Luis Hernandez | Counselor | 2446 Lea Crest Dr, Dallas, TX 75216-5822 | 2018-04-13 |
| 1144527466 | Luis Hernandez | Internal Medicine | 1861 Nw South River Dr, Ph11, Miami, FL 33125-2700 | 2011-02-23 |
| 1275839185 | Luis E Hernandez | Non-emergency Medical Transport (VAN) | 6621 Bloomington Ave S, Richfield, MN 55423 | 2011-02-10 |
| 1265746440 | Luis Alberto Hernandez | Counselor | Estension Del Carmen C1 00795, Juana Diaz, PR 00795-0000 | 2010-07-30 |
| 1245463280 | Luis Martin Hernandez | Counselor | 1820 S Central St Ste B, Visalia, CA 93277-4418 | 2009-08-25 |
| 1205078649 | Luis Oscar Hernandez IIi | Surgery | 7765 Sw 87th Avenue, 212, Miami, FL 33173 | 2009-03-31 |
| Street Address |
6635 E 21ST ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46219-2254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417062266 | Rcg Indiana, LLC | Clinic/Center | 6635 E 21st St, Suite 400, Indianapolis, IN 46219-2254 | 2006-08-20 |
| 1902403835 | Nicole Margaret Gray | Behavior Technician | 6635 E 21st St, Indianapolis, IN 46219-2254 | 2020-10-05 |
| 1376140186 | Sarah Lynn Clark-carson | Behavior Technician | 6635 E 21st St, Indianapolis, IN 46219-2254 | 2020-10-05 |
| 1548867617 | Margaret Ann May Parrilla | Behavior Technician | 6635 E 21st St, Indianapolis, IN 46219-2254 | 2020-10-02 |
| 1437756509 | Alithea Jessica Ginn | Behavior Technician | 6635 E 21st St, Indianapolis, IN 46219-2254 | 2020-10-02 |
| 1336746353 | Corrina Marie Gorman | Behavior Technician | 6635 E 21st St, Indianapolis, IN 46219-2254 | 2020-10-02 |
| 1275130361 | Georgia Kelly Gross | Behavior Technician | 6635 E 21st St, Indianapolis, IN 46219-2254 | 2020-10-02 |
| 1285231365 | Megan Faith Butler | Behavior Technician | 6635 E 21st St, Indianapolis, IN 46219-2254 | 2020-10-02 |
| 1073110136 | Achaia Zsavon Bolton | Behavior Technician | 6635 E 21st St, Indianapolis, IN 46219-2254 | 2020-10-02 |
| 1891301974 | Victoria Carmen Marie Ducret | Behavior Technician | 6635 E 21st St, Indianapolis, IN 46219-2254 | 2020-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571157 | Kara Kathryn Berning | Dietitian, Registered | 2040 N. Shadeland Ave, Suite 130, Indianapolis, IN 46219 | 2020-09-01 |
| 1780223750 | Erin Cannon | Specialist | 1543 N Post Rd, Indianapolis, IN 46219 | 2019-12-23 |
| 1073151239 | Tanicka Elizabeth Word | Behavior Technician | 6635 E 21st Street, West Building, Indianapolis, IN 46219 | 2019-12-18 |
| 1790322527 | Arlington Westend Dental LLC | Dentist | 5900 E 10th St, Indianapolis, IN 46219 | 2019-11-27 |
| 1336645985 | Lynell Westbrook Gates | Counselor | 1311 N Arlington Ave Ste 102, Indianapolis, IN 46219 | 2018-04-03 |
| 1861991689 | Comfort Dental LLC | Clinic/Center | 8151 E 21st St., Indianapolis, Indianapolis, IN 46219 | 2018-02-07 |
| 1467811570 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6701 E 21st St, Indianapolis, IN 46219 | 2016-02-17 |
| 1992197289 | Casey Baker | Physician Assistant | 1500 N Ritter Ave (medical Associates, LLP), Indianapolis, IN 46219 | 2015-02-24 |
| 1811398407 | Adam Romesser | Pharmacist | 8907 E. 10th St., Indianapolis, IN 46219 | 2014-09-15 |
| 1225448673 | Justin Stauffer | Pharmacist | 5903 E Pleasant Run Parkway North Dr, Indianapolis, IN 46219 | 2014-05-06 |
| Find all providers in zip 46219 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790383289 | True Legacy Family Services LLC | Behavior Technician | 9165 Otis Ave Ste 202, Indianapolis, IN 46216-2312 | 2020-10-15 |
| 1205442894 | Victoria Whittaker | Behavior Technician | 1543 Spann Ave, Indianapolis, IN 46203-1248 | 2020-09-18 |
| 1376160259 | Brenda Van Schaick-bianchi | Behavior Technician | 2425 Boyer Ln, Indianapolis, IN 46217-8793 | 2020-06-26 |
| 1861015471 | Samaria Hamilton | Behavior Technician | 4245 Blue Note Dr, Indianapolis, IN 46239-9815 | 2020-05-19 |
| 1518592138 | Tiara Nicole Schafer | Behavior Technician | 9850 Westpoint Dr, Indianapolis, IN 46256-3364 | 2020-03-04 |
| 1316587660 | Yulisa Carrera-ochoa | Behavior Technician | 6925 Parkdale Place, Indianapolis, IN 46254 | 2020-01-14 |
| 1972142347 | Karina Kay Smith | Behavior Technician | 9769 Crosspoint Blvd, Indianapolis, IN 46256-3346 | 2020-01-02 |
| 1073151239 | Tanicka Elizabeth Word | Behavior Technician | 6635 E 21st Street, West Building, Indianapolis, IN 46219 | 2019-12-18 |
| 1487203139 | Elizabeth Ann Wilson | Behavior Technician | 120 N East St Ste 1233, Indianapolis, IN 46204 | 2019-09-05 |
| 1679039473 | Synetra Benson | Behavior Technician | 8527 Franklin Cove Way, Indianapolis, IN 46239-2261 | 2019-02-16 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46219 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.