Most Relevant Information
Provider Data
| NPI Number: | 1003656778 |
| Provider Name: | SANDY HERNANDEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-24-348897 |
Most Important Dates
| Enumeration Date: | 05/29/2024 |
| Last Updated: | 05/29/2024 |
Provider Practice Location
7821 NW 197TH ST
HIALEAH
FL
330156409
Practice Location Phone/Fax
| Phone: | 7865145472 |
| Fax: |
Provider Mailing Location
7821 NW 197TH ST
HIALEAH
FL
330156409
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |