Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | 0-19-10496 | FL |
N | 106S00000X | Behavior Technician |
NPI | 1083110563 |
---|---|
Provider Name | Ms. Annia Hernandez |
First Address | Hialeah, FL 33010-5311 |
Second Address | Hialeah, FL 33010-5311 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2018 |
Last Update Date | 08/02/2021 |