Individual
ANA MARY HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2030 GRANT AVE, OPA LOCKA, FL 33054-2849
(305) 413-1007
Mailing address
2030 GRANT AVE, OPA LOCKA, FL 33054-2849
(305) 314-1007
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-442514
FL
Other
Enumeration date
06/11/2025
Last updated
06/24/2025
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