Healthcare Provider Details

I. General information

NPI: 1396318952
Provider Name (Legal Business Name): HELEN PEREZ HERNANDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2021
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10250 SW 56TH ST STE A202
MIAMI FL
33165-7095
US

IV. Provider business mailing address

999 NW 7TH ST APT 542
MIAMI FL
33136-3178
US

V. Phone/Fax

Practice location:
  • Phone: 888-527-8037
  • Fax:
Mailing address:
  • Phone: 305-224-1929
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-21-13114
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-89784
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-21-168372
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: