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Anita Maria Hernandez

Behavior Technician in Fairfield, CA. Individual provider (NPI-1).

NPI number1003661612
StatusActive
Last updated in NPPESMay 30, 2024

Details

NPI
1003661612
Entity type
Individual (NPI-1)
Name
Anita Maria Hernandez
Sex
Female
Sole proprietor
No
Enumeration date
Apr 18, 2024
Certification date
May 30, 2024
Last updated
May 30, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

2450 Martin Rd # 100
Fairfield, CA 94534-1018

Phone 855-223-7123

Mailing address

Po Box 33568
San Diego, CA 92163-3568

Phone 855-223-7123 · Fax 619-374-7134

Other practice locations

801 Jefferson St Ste 4&35&6
Fairfield, CA 94533-5557

Phone 855-223-7123

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