Individual
IDOLEISY HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3024 SW 64TH AVE, MIAMI, FL 33155-3926
(305) 205-7142
Mailing address
3024 SW 64TH AVE, MIAMI, FL 33155-3926
(305) 205-7142
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
FL
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/15/2018
Last updated
06/20/2022
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