Individual
YANAISY HERNANDEZ LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
23196 BENTLEY PL, BOCA RATON, FL 33433-6828
(786) 387-4365
Mailing address
23196 BENTLEY PL, BOCA RATON, FL 33433-6828
(786) 387-4365
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-20-11652
FL
Other
Enumeration date
06/27/2019
Last updated
01/23/2025
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