Individual
MRS. BIANCA FELICE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
212 SW 159TH WAY, SUNRISE, FL 33326-2276
(954) 294-7310
Mailing address
212 SW 159TH WAY, SUNRISE, FL 33326-2276
(954) 294-7310
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12044413
FL
Other
Enumeration date
12/20/2014
Last updated
09/04/2020
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