Provider Demographics
NPI:1427705334
Name:ARAP HERNANDEZ, ANDRO
Entity type:Individual
Prefix:
First Name:ANDRO
Middle Name:
Last Name:ARAP HERNANDEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9022 SW 123RD CT APT O106
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-4169
Mailing Address - Country:US
Mailing Address - Phone:786-271-6181
Mailing Address - Fax:
Practice Address - Street 1:9022 SW 123RD CT APT O106
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-4169
Practice Address - Country:US
Practice Address - Phone:786-271-6181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-10
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-19-80300106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician