Individual
AIVANKA PEREZ HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
85 W 56TH ST, HIALEAH, FL 33012-2734
(786) 624-0150
Mailing address
85 W 56TH ST, HIALEAH, FL 33012-2734
(786) 624-0150
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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