Healthcare Provider Details

I. General information

NPI: 1922998152
Provider Name (Legal Business Name): BEATRIZ CUELLAR HERNANDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2025
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6145 NW 7TH AVE APT 404
MIAMI FL
33127-1153
US

IV. Provider business mailing address

6145 NW 7TH AVE APT 404
MIAMI FL
33127-1153
US

V. Phone/Fax

Practice location:
  • Phone: 786-966-8351
  • Fax:
Mailing address:
  • Phone: 786-966-8351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License NumberRBT-23-283626
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: