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NPI Code Detail

MEDICARE: MARITZA DE LA CARIDAD HERNANDEZ PEREZ BCBA

MEDICARE: MARITZA DE LA CARIDAD HERNANDEZ PEREZ BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106E00000XAssistant Behavior Analyst0-19-9766FL
2106S00000XBehavior Technician18-50420FL
3103K00000XBehavior Analyst1-23-67085FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750828810
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARITZA DE LA CARIDAD HERNANDEZ PEREZ BCBA
Provider Business Mailing Address
First Line : 444 ALEMEDA DR
Second Line :
City : PALM SPRINGS
State : FL
Zip : 33461-1504
Country : US
Telephone Number : 561-307-3589
Fax Number :
Provider Business Practice Location Address
First Line : 6415 LAKE WORTH RD STE 204
Second Line :
City : GREENACRES
State : FL
Zip : 33463-2904
Country : US
Telephone Number : 561-771-9561
Fax Number : 800-766-3139
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2017
Last Update Date : 08/11/2023

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Directions to “ MARITZA DE LA CARIDAD HERNANDEZ PEREZ BCBA” Practice Location

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