Kassandra Hernandez
Behavior Technician in Rancho Cucamonga, CA. Individual provider (NPI-1).
NPI number1104698265
StatusActive
Last updated in NPPESOct 23, 2023
Details
- NPI
- 1104698265
- Entity type
- Individual (NPI-1)
- Name
- Kassandra Hernandez
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 23, 2023
- Certification date
- Oct 23, 2023
- Last updated
- Oct 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | CA | Yes |
Practice location
11799 Sebastian Way Ste 103Rancho Cucamonga, CA 91730-0708
Phone 909-353-7547
Mailing address
2935 Bighorn DrCorona, CA 92881-8770
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