Individual
AMANDA CARIDAD HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
704 WASHINGTON AVE FL 2, HOMESTEAD, FL 33030-6012
(305) 481-2198
Mailing address
26780 SW 140TH AVE UNIT 209, HOMESTEAD, FL 33032-8438
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-367000
—
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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