Healthcare Provider Details

I. General information

NPI: 1083304240
Provider Name (Legal Business Name): BEATRIZ FERNANDEZ HERNANDEZ BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2023
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11021 SW 43RD ST
MIAMI FL
33165-4716
US

IV. Provider business mailing address

11021 SW 43RD ST
MIAMI FL
33165-4716
US

V. Phone/Fax

Practice location:
  • Phone: 786-499-2643
  • Fax:
Mailing address:
  • Phone: 786-499-2643
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-23-252453
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-2829688
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-25-15941
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: