Antonio Hernandez | Miami Lakes, FL • PECOS Search

Antonio Hernandez

Behavior Analyst

Behavioral Health & Social Service Providers

14411 Commerce Way Ste 320, Miami Lakes, FL 33016-1532

PECOS Enrollment

Based on the most recent information from CMS, provider Antonio Hernandez does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1346611746
Provider Type
Individual
Full Name
Hernandez, Antonio
Gender
Male

Sole Proprietor
No
Enumeration Date
10/12/2015
Last Updated
10/12/2015

Contact Information

Practice Location

14411 Commerce Way Ste 320, Miami Lakes, FL 33016-1532

Unlisted Fax

Mailing Location

14411 Commerce Way Ste 320, Miami Lakes, FL 33016-1532

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 103K00000X Primary	Description Behavior Analyst Behavioral Health & Social Service Providers	License Unlisted Issuer