Healthcare Provider Details

I. General information

NPI: 1093458267
Provider Name (Legal Business Name): IN YOUR HANDS BEHAVIOR CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2022
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3351 MARINATOWN LN STE 200
NORTH FORT MYERS FL
33903-7000
US

IV. Provider business mailing address

3351 MARINATOWN LN STE 200
N FORT MYERS FL
33903-7000
US

V. Phone/Fax

Practice location:
  • Phone: 786-616-1804
  • Fax:
Mailing address:
  • Phone: 786-616-1804
  • Fax: 877-307-2352

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name: ABEL HERNANDEZ PEREZ
Title or Position: OFFICER
Credential: BCBA
Phone: 786-616-1804