Provider Demographics
NPI:1659916351
Name:LEYVA HERNANDEZ, ALBERTO (CBHCM-S)
Entity Type:Individual
Prefix:
First Name:ALBERTO
Middle Name:
Last Name:LEYVA HERNANDEZ
Suffix:
Gender:M
Credentials:CBHCM-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2837 W 75TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-5314
Mailing Address - Country:US
Mailing Address - Phone:305-833-1015
Mailing Address - Fax:
Practice Address - Street 1:7955 NW 12TH ST STE 405
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33126-1823
Practice Address - Country:US
Practice Address - Phone:786-286-5297
Practice Address - Fax:786-637-2974
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-18
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician