Individual
MRS. ADISLEY HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2390 W 74TH ST APT 202, HIALEAH, FL 33016-6810
(786) 277-0113
Mailing address
2390 W 74TH ST APT 202, HIALEAH, FL 33016-6810
(786) 277-0113
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/23/2022
Last updated
04/07/2022
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