Most Relevant Information
Provider Data
| NPI Number: | 1003672064 |
| Provider Name: | ANA LIDIA HERNANDEZ MIRABAL |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | 24-320710 |
Most Important Dates
| Enumeration Date: | 02/26/2024 |
| Last Updated: | 02/26/2024 |
Provider Practice Location
3104 ORANOLE RD
ORLANDO
FL
328102017
Practice Location Phone/Fax
| Phone: | 4075010494 |
| Fax: |
Provider Mailing Location
8664 FORT SHEA AVE
ORLANDO
FL
328227494
Provider Mailing Phone/Fax
| Phone: | 7326198016 |
| Fax: |