Hernandez Hernandez, Marina
Hernandez Hernandez, Marina is an sole proprietor health care provider with primary practice located at 4207 Sky Flower Ln , Saint Cloud FL 34772-8842. She recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as her primary health care specialty. Hernandez Hernandez, Marina can be contacted via phone (786) 282-2588.Contact Information
Primary practice address
4207 Sky Flower Ln
Saint Cloud FL 34772-8842
Phone: (786) 282-2588
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Assistant Behavior Analyst | 106E00000X | 0-22-13891 | Florida |
Profile Details
NPI number | 1164062691 |
---|---|
LBN Legal business name | Hernandez Hernandez, Marina |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 13th, 2020 |
Last updated | Oct 27th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1164062691 | NPPES |
Florida | MEDICAID | 103375900 |
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