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Individual

ANGELLA MARIE HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
17417 SW 20TH CT, MIRAMAR, FL 33029-5543
(786) 800-0089
Mailing address
2651 SW 119TH TER UNIT 1107, MIRAMAR, FL 33025-7731
(786) 800-0089

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
FL
106S00000X
Behavior Technician

Other

Enumeration date
11/20/2020
Last updated
09/19/2024
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