Elissette Hernandez
Behavior Technician in Fresno, CA. Individual provider (NPI-1).
NPI number1144851908
StatusActive
Last updated in NPPESJan 30, 2020
Details
- NPI
- 1144851908
- Entity type
- Individual (NPI-1)
- Name
- Elissette Hernandez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 30, 2020
- Certification date
- Jan 30, 2020
- Last updated
- Jan 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1630 E Shaw Ave Ste 190Fresno, CA 93710-8114
Phone 559-492-7900
Mailing address
5132 N Palm Ave # 303Fresno, CA 93704-2236
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