Individual
LETICIA HERNANDEZ RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
2615 FAIRWAYS DR, HOMESTEAD, FL 33035-1173
(305) 597-3861
(305) 597-3863
Mailing address
10453 SW 99TH TER, MIAMI, FL 33176-2725
(786) 202-9326
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0-21-12753
FL
106E00000X
Assistant Behavior Analyst
Primary
0-21-12753
FL
106S00000X
Behavior Technician
RBT-18-53247
FL
Other
Enumeration date
04/28/2018
Last updated
09/26/2021
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