Individual
MAYTE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7749 N KENDALL DR APT D326, MIAMI, FL 33156-7718
(786) 419-9406
Mailing address
7749 N KENDALL DR APT D326, MIAMI, FL 33156-7718
(786) 419-9406
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
FL
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/27/2018
Last updated
08/20/2019
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