Individual
MRS. MAGALYS HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
630 SW 49TH AVE, CORAL GABLES, FL 33134-1305
(786) 473-4579
Mailing address
630 SW 49TH AVE, CORAL GABLES, FL 33134-1305
(786) 473-4579
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-21-12587
FL
106S00000X
Behavior Technician
18-66114
FL
Other
Enumeration date
01/10/2017
Last updated
08/30/2021
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