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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164062691 NPPES
Florida MEDICAID 103375900

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