Individual
ANGELICA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10150 HIGHLAND MANOR DR STE 200, TAMPA, FL 33610-9712
(863) 602-0698
(813) 354-2715
Mailing address
PO BOX 6553, LAKELAND, FL 33807-6553
(863) 602-0698
(813) 354-2715
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-26-16846
FL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/04/2023
Last updated
06/26/2026
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