Provider Demographics
NPI:1235911827
Name:HERNANDEZ, YEBESKA IVETTE
Entity Type:Individual
Prefix:MS
First Name:YEBESKA
Middle Name:IVETTE
Last Name:HERNANDEZ
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 1:5221 NW 61ST CT
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34482-8479
Mailing Address - Country:US
Mailing Address - Phone:352-207-5751
Mailing Address - Fax:
Practice Address - Street 1:5221 NW 61ST CT
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34482-8479
Practice Address - Country:US
Practice Address - Phone:352-207-5751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-18
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services