Individual
ANISLEY HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10650 W STATE ROAD 84 STE 206, DAVIE, FL 33324-4235
(954) 634-3636
Mailing address
489 E 26TH ST APT 5, HIALEAH, FL 33013-3829
(786) 315-0183
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-21-155057
FL
3747P1801X
Personal Care Attendant
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013321100
—
FL
Enumeration date
06/11/2015
Last updated
02/22/2023
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