Individual
LISA M HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
306 DISSTON AVE, MINNEOLA, FL 34715-5506
(407) 480-1887
Mailing address
306 DISSTON AVE, MINNEOLA, FL 34715-5506
(407) 480-1887
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-22-13759
FL
106S00000X
Behavior Technician
RBT-17-40153
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-22-13759
BEHAVIOR ANALYST CERTIFICATION BOARD
FL
05
—
022455100
—
FL
Enumeration date
09/25/2017
Last updated
08/09/2022
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