Individual
MARINA HERNANDEZ HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4207 SKY FLOWER LN, SAINT CLOUD, FL 34772-8842
(786) 282-2588
Mailing address
4207 SKY FLOWER LN, SAINT CLOUD, FL 34772-8842
(786) 282-2588
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-22-13891
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103375900
—
FL
Enumeration date
01/13/2020
Last updated
10/27/2022
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