Healthcare Provider Details

I. General information

NPI: 1700515384
Provider Name (Legal Business Name): YUSDAY DE LA CARIDAD HERNANDEZ LOPEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2022
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8013 W 6TH AVE APT F
HIALEAH FL
33014-4107
US

IV. Provider business mailing address

8013 W 6TH AVE APT F
HIALEAH FL
33014-4107
US

V. Phone/Fax

Practice location:
  • Phone: 786-547-2458
  • Fax:
Mailing address:
  • Phone: 786-547-2458
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBCBA-1-26-89971
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-20-140128
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License NumberBCABA-0-23-14958
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: