Individual
LAURA ELENA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12021 SW 176TH TER, MIAMI, FL 33177-2348
(305) 467-0171
Mailing address
12021 SW 176TH TER, MIAMI, FL 33177-2348
(305) 467-0171
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-15-01308
—
222Q00000X
Developmental Therapist
Primary
—
FL
2355S0801X
Speech-Language Assistant
SI2548
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017849900
—
FL
01
—
SI2548
SPEECH LANGUAGE PATHOLOGY ASSISTANT
FL
Enumeration date
05/25/2015
Last updated
04/04/2023
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