Individual
MARILIN HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5077 NW 7TH ST APT 518, MIAMI, FL 33126-3462
(786) 325-6075
Mailing address
5077 NW 7TH ST APT 518, MIAMI, FL 33126-3462
(786) 325-6075
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-21-12623
FL
106S00000X
Behavior Technician
RBT1869194
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-21-12623
BOARD CERTIFIED ASSISTANT BEHAVIOR ANALYST
FL
05
—
021501900
—
FL
Enumeration date
07/13/2019
Last updated
10/27/2021
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