Provider Demographics
NPI:1619441698
Name:HERNANDEZ FONTE, ARLET
Entity Type:Individual
Prefix:
First Name:ARLET
Middle Name:
Last Name:HERNANDEZ FONTE
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 1:560 W 34TH PL
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-5127
Mailing Address - Country:US
Mailing Address - Phone:305-927-6015
Mailing Address - Fax:
Practice Address - Street 1:6020 NW 201ST LN
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-4864
Practice Address - Country:US
Practice Address - Phone:786-696-6899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-14
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-18-67078106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician