NPI 1033095823

Jose Luis Fraga Hernandez

Practitioner Behavior Technician Saint Cloud, FL

Practice location

Address: 4207 Sky Flower Ln, Saint Cloud, FL 34772-8842
Phone: (786) 246-3846

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-25-462627 (FL)

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Registry record

NPI: 1033095823
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Aug 2025
Record last updated: 15 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.