Healthcare Provider Details

I. General information

NPI: 1770017493
Provider Name (Legal Business Name): YASMIANY LUCIA HERNANDEZ MS, BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2017
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2332 GALIANO ST
CORAL GABLES FL
33134-5402
US

IV. Provider business mailing address

240 ELM ST
SOMERVILLE MA
02144-2935
US

V. Phone/Fax

Practice location:
  • Phone: 786-718-5701
  • Fax:
Mailing address:
  • Phone: 786-718-5701
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-18-30970
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBCBA1-18-30970
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: