Healthcare Provider Details

I. General information

NPI: 1730745340
Provider Name (Legal Business Name): DAYLIN FERNANDEZ HERNANDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2019
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

134 E 9TH ST APT 129
HIALEAH FL
33010-4291
US

IV. Provider business mailing address

134 E 9TH ST APT 129
HIALEAH FL
33010-4291
US

V. Phone/Fax

Practice location:
  • Phone: 561-567-2827
  • Fax:
Mailing address:
  • Phone: 561-567-2827
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-90353
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number1865445
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: