MEDICARE: SAIMARA ALARCON 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	103K00000X	Behavior Analyst	1-26-89759	FL

General Provider Information

NPI Number	:	1720915507
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAIMARA ALARCON HERNANDEZ

Provider Business Mailing Address
First Line	:	866 HENDRY DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-8146
Country	:	US
Telephone Number	:	321-280-0307
Fax Number	:

Provider Business Practice Location Address
First Line	:	866 HENDRY DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-8146
Country	:	US
Telephone Number	:	321-280-0307
Fax Number	:

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

Provider Enumeration Date	:	05/06/2026
Last Update Date	:	05/06/2026

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