Individual
DEYCI HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
7810 W 8TH AVE, HIALEAH, FL 33014-4013
(786) 374-9024
Mailing address
7810 W 8TH AVE, HIALEAH, FL 33014-4013
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-20-11057
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107243300
—
FL
Enumeration date
04/27/2018
Last updated
12/07/2020
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