Mariah Elaine Hernandez
Behavior Technician in Riverbank, CA. Individual provider (NPI-1).
NPI number1164043295
StatusActive
Last updated in NPPESApr 29, 2020
Details
- NPI
- 1164043295
- Entity type
- Individual (NPI-1)
- Name
- Mariah Elaine Hernandez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 29, 2020
- Certification date
- Apr 29, 2020
- Last updated
- Apr 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
5501 Antique Rose WayRiverbank, CA 95367-9505
Phone 209-521-4791
Mailing address
Po Box 399318San Francisco, CA 94139-9318
Phone 209-202-1480
Other practice locations
1701 Celeste Dr
Modesto, CA 95355-5039
Modesto, CA 95355-5039
Phone 209-202-1480
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All 1,559 Behavior Technician providers in Riverbank · All 1,715 providers in Riverbank
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