Idalmis Sierra Hernandez
Behavior Technician in Miami, FL. Individual provider (NPI-1).
NPI number1336596337
StatusActive
Last updated in NPPESMar 14, 2022
Details
- NPI
- 1336596337
- Entity type
- Individual (NPI-1)
- Name
- Idalmis Sierra Hernandez
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 19, 2016
- Certification date
- Mar 14, 2022
- Last updated
- Mar 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
| 247200000X | Technician, Other | – | – |
Practice location
16825 Sw 107th CtMiami, FL 33157-4183
Phone 305-910-6026
Mailing address
16825 Sw 107th CtMiami, FL 33157-4183
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