MS. Taide Hernandez

NPI #1114369808 in Mary Esther, Florida

Provider Information

NPI Number: 1114369808
Entity Type: Individual
Name: MS. Taide Hernandez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 23, 2013
Last Updated: Mar 30, 2021

Practice Location

Address: 124 E MIRACLE STRIP PKWY STE 503
City: Mary Esther
State: Florida
ZIP Code: 32569-1991
Phone: (850) 374-3991

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Behavior Technician	106S00000X	Primary

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