Jennifer Hernandez
Behavior Technician in Fresno, CA. Individual provider (NPI-1).
NPI number1164067096
StatusActive
Last updated in NPPESNov 14, 2019
Details
- NPI
- 1164067096
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Hernandez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 14, 2019
- Last updated
- Nov 14, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2505 W Shaw Ave Ste 2Fresno, CA 93711-3334
Phone 559-241-7233
Mailing address
1212 E Andrews AveFresno, CA 93704-5007
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