Individual ProviderReyna HernandezBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address421 Fayetteville St, Raleigh, NC 27601-1792(888) 880-9270PECOS EnrollmentBased on the most recent information from CMS, provider Reyna Hernandez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1962068221Provider TypeIndividualFull NameHernandez, ReynaGenderFemaleSole ProprietorNoEnumeration Date5/13/2019Last Updated5/13/2019Contact InformationPractice LocationPractice Address421 Fayetteville St, Raleigh, NC 27601-1792Phone(888) 880-9270FaxUnlisted FaxMailing LocationMailing Address500 Fairway Dr Ste 102, Deerfield Beach, FL 33441-1817PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer