Healthcare Provider Details

I. General information

NPI: 1487518288
Provider Name (Legal Business Name): ARLYN YANTA HERNANDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2677 FOREST HILL BLVD STE 109
WEST PALM BEACH FL
33406-5941
US

IV. Provider business mailing address

6210 WALLIS RD APT C108
WEST PALM BEACH FL
33413-1916
US

V. Phone/Fax

Practice location:
  • Phone: 561-433-5050
  • Fax: 561-354-6027
Mailing address:
  • Phone: 786-420-1427
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-495488
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: