Provider Demographics
NPI:1174971584
Name:HERNANI, ROCIO (RBT)
Entity type:Individual
Prefix:
First Name:ROCIO
Middle Name:
Last Name:HERNANI
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9430 SW 61ST WAY APT B
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-6303
Mailing Address - Country:US
Mailing Address - Phone:702-542-7099
Mailing Address - Fax:
Practice Address - Street 1:9430 SW 61ST WAY APT B
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-6303
Practice Address - Country:US
Practice Address - Phone:702-542-7099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-25
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL15-09532OtherREGISTERED BEHAVIOR TECHNICIAN