Most Relevant Information
Provider Data
| NPI Number: | 1003630807 |
| Provider Name: | IVON DE LAS MERCEDES AGUILAR HERNANDEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-24-390451 |
Most Important Dates
| Enumeration Date: | 11/09/2024 |
| Last Updated: | 11/09/2024 |
Provider Practice Location
300 W 74TH PL APT 101
HIALEAH
FL
330145035
Practice Location Phone/Fax
| Phone: | 3053609814 |
| Fax: |
Provider Mailing Location
300 W 74TH PL APT 101
HIALEAH
FL
330145035
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |