Individual
BRENDA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4451 W 10TH LN, HIALEAH, FL 33012-4103
(786) 775-8041
Mailing address
4451 W 10TH LN, HIALEAH, FL 33012-4103
(786) 775-8041
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-20-118615
FL
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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