Healthcare Provider Details

I. General information

NPI: 1306756499
Provider Name (Legal Business Name): RACHEL HERNANDEZ PEREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 VALLEY STREAM DR APT 211
NAPLES FL
34113-4144
US

IV. Provider business mailing address

400 VALLEY STREAM DR APT 211
NAPLES FL
34113-4144
US

V. Phone/Fax

Practice location:
  • Phone: 786-740-3368
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-533672
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: