Organization
ADVANCED NEUROBEHAVIORAL HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUISA FERNANDA HERNANDEZ PSYD (PRESIDENT)
(786) 488-9343
Entity
Organization
Contact information
Practice address
2020 PONCE DE LEON BLVD STE 1201, CORAL GABLES, FL 33134-4476
(786) 488-9343
Mailing address
2605 SW 133RD AVE, MIAMI, FL 33175-7108
(786) 488-9343
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103T00000X
Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TH0004X
Health Psychologist
—
—
Other
Enumeration date
05/16/2019
Last updated
11/15/2023
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