Individual
MISS HAYDEELIS HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12240 SW 128TH CT STE 110, MIAMI, FL 33186-4782
(305) 562-4683
Mailing address
12917 SW 61ST TER, MIAMI, FL 33183-5468
(786) 222-3720
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-22-13517
FL
106S00000X
Behavior Technician
RBT-20-138873
FL
Other
Enumeration date
10/07/2020
Last updated
09/07/2022
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