Odalys Hernandez, CCM is a
Behavior Technician based in Miami, Florida. Odalys Hernandez is licensed to practice in Florida (license number RBT-18-74552) and her current practice location is
3271 Nw 7th St Ste 203, Miami, Florida. She can be reached at her office (for appointments etc.) via phone at
(786) 220-6902.
NPI number for Odalys Hernandez is 1134631070 and her current mailing address is 9686 Fontainebleau Blvd Apt 504, Miami, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134631070.
Provider's Profile
| Full Name | Odalys Hernandez |
|---|
| Gender | Female |
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| Speciality | Behavior Technician |
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| Location | 3271 Nw 7th St Ste 203, Miami, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1134631070
- Provider Enumeration Date: 11/01/2017
- Last Update Date: 10/04/2025
Medical Identifiers
Medical identifiers for Odalys Hernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134631070 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 2781 (Puerto Rico) | Secondary |
| 171M00000X | Case Manager/care Coordinator | CCM100323 (Florida) | Secondary |
| 106S00000X | Behavior Technician | RBT-18-74552 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Odalys Hernandez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Odalys Hernandez, CCM
9686 Fontainebleau Blvd Apt 504,
Miami, FL 33172-4136
Ph: (786) 800-4552 | Odalys Hernandez, CCM
3271 Nw 7th St Ste 203,
Miami, FL 33125-4141
Ph: (786) 220-6902 |
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