Most Relevant Information
Provider Data
| NPI Number: | 1003358052 |
| Provider Name: | ILEANA REGALADO HERNANDEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/08/2016 |
| Last Updated: | 10/25/2021 |
Provider Practice Location
8821 SOUTHAMPTON DR
MIRAMAR
FL
330252717
Practice Location Phone/Fax
| Phone: | 9564134806 |
| Fax: |
Provider Mailing Location
8821 SOUTHAMPTON DR
MIRAMAR
FL
330252717
Provider Mailing Phone/Fax
| Phone: | 9564134806 |
| Fax: |