Provider Demographics
NPI:1427807916
Name:HERNANDEZ HANO, LAURENT (RBT)
Entity type:Individual
Prefix:
First Name:LAURENT
Middle Name:
Last Name:HERNANDEZ HANO
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13402 SW 43RD LN
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-3860
Mailing Address - Country:US
Mailing Address - Phone:786-834-4771
Mailing Address - Fax:
Practice Address - Street 1:13402 SW 43RD LN
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-3860
Practice Address - Country:US
Practice Address - Phone:786-834-4771
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-16
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-23-308196106S00000X
106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician