MEDICARE: LHYAT DE LA CARIDAD MENESES HERNANDEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1063372415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LHYAT DE LA CARIDAD MENESES HERNANDEZ

Provider Business Mailing Address
First Line	:	7298 ULMERTON RD APT 103
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33771-4827
Country	:	US
Telephone Number	:	727-342-4480
Fax Number	:

Provider Business Practice Location Address
First Line	:	7298 ULMERTON RD APT 103
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33771-4827
Country	:	US
Telephone Number	:	727-342-4480
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2025
Last Update Date	:	01/07/2026

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Directions to “ LHYAT DE LA CARIDAD MENESES HERNANDEZ ” Practice Location

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