Provider Demographics
NPI:1093458267
Name:IN YOUR HANDS BEHAVIOR CORP
Entity Type:Organization
Organization Name:IN YOUR HANDS BEHAVIOR CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ABEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:786-616-1804
Mailing Address - Street 1:3351 MARINATOWN LN STE 200
Mailing Address - Street 2:
Mailing Address - City:N FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33903-7000
Mailing Address - Country:US
Mailing Address - Phone:786-616-1804
Mailing Address - Fax:877-307-2352
Practice Address - Street 1:1777 TAMIAMI TRL STE 303
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33948-4088
Practice Address - Country:US
Practice Address - Phone:786-616-1804
Practice Address - Fax:877-307-2352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-15
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty