Yairis Abreu Hernandez
Individual provider Active NPI Behavior Technician · Orange Park, FL
NPI 1700615218 · NPPES record last updated Aug 14, 2024
Key facts
- NPI
- 1700615218
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-24-362062 (FL)
- Practice address
- 1710 Wells Rd Apt 315
Orange Park, FL 32073-2376 - Phone
- (786) 308-9482
- NPI assigned
- Aug 1, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-24-362062 | FL | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-24-362062 | FL | Yes |
Addresses
Primary practice location
1710 Wells Rd Apt 315
Orange Park, FL 32073-2376
Mailing address
1710 Wells Rd Apt 315
Orange Park, FL 32073-2376
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All providers in Orange Park, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.