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NPI Code Detail

MEDICARE: YAISY HERNANDEZ

MEDICARE:   YAISY  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
1106S00000XBehavior TechnicianRBT-24-326-165FL

General Provider Information

NPI Number : 1922866482
Entity Type Code : Individual
Provider Name (Legal Business Name) : YAISY HERNANDEZ
Provider Business Mailing Address
First Line : 7010 NW 186TH ST APT 204
Second Line :
City : HIALEAH
State : FL
Zip : 33015-3109
Country : US
Telephone Number : 786-826-3832
Fax Number :
Provider Business Practice Location Address
First Line : 7010 NW 186TH ST APT 204
Second Line :
City : HIALEAH
State : FL
Zip : 33015-3109
Country : US
Telephone Number : 786-826-3832
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2024
Last Update Date : 03/11/2024

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Directions to “ YAISY HERNANDEZ ” Practice Location

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