Most Relevant Information
Provider Data
| NPI Number: | 1003682394 |
| Provider Name: | THALIA HERNANDEZ CARRENO |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-23-311699 |
Most Important Dates
| Enumeration Date: | 11/28/2023 |
| Last Updated: | 12/14/2023 |
Provider Practice Location
1346 KIRK RD
WEST PALM BEACH
FL
334064962
Practice Location Phone/Fax
| Phone: | 5616442107 |
| Fax: |
Provider Mailing Location
1346 KIRK RD
WEST PALM BEACH
FL
334064962
Provider Mailing Phone/Fax
| Phone: | 5616442107 |
| Fax: |