Provider Demographics
NPI:1215801907
Name:HERNANDEZ GUADA, YANAY
Entity type:Individual
Prefix:
First Name:YANAY
Middle Name:
Last Name:HERNANDEZ GUADA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20730 NW 7TH AVE APT 305
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33169-7021
Mailing Address - Country:US
Mailing Address - Phone:786-669-7380
Mailing Address - Fax:
Practice Address - Street 1:20730 NW 7TH AVE APT 305
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33169-7021
Practice Address - Country:US
Practice Address - Phone:786-669-7380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-03
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLH624206393000106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty