Healthcare Provider Details

I. General information

NPI: 1396228649
Provider Name (Legal Business Name): ARIADNA YANAIRA ALDARONDO HERNANDEZ PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/12/2018
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 COMMERCE DR STE 106
BEDFORD NH
03110-6803
US

IV. Provider business mailing address

PO BOX 193302
SAN JUAN PR
00919-3302
US

V. Phone/Fax

Practice location:
  • Phone: 800-679-3609
  • Fax: 718-819-1801
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number6951
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number1717
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: