Provider Demographics
NPI:1326750308
Name:DUARTE HERNANDEZ, YAHIMA
Entity Type:Individual
Prefix:
First Name:YAHIMA
Middle Name:
Last Name:DUARTE HERNANDEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:YAHIMA
Other - Middle Name:
Other - Last Name:DUARTE HERNANDEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4794 NW 104TH AVE
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-4203
Mailing Address - Country:US
Mailing Address - Phone:786-205-8793
Mailing Address - Fax:
Practice Address - Street 1:4794 NW 104TH AVE
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-4203
Practice Address - Country:US
Practice Address - Phone:786-205-8793
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-21
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician