Gisell A Hernandez
Behavior Technician in San Bernardino, CA. Individual provider (NPI-1).
NPI number1184282956
StatusActive
Last updated in NPPESJun 5, 2019
Details
- NPI
- 1184282956
- Entity type
- Individual (NPI-1)
- Name
- Gisell A Hernandez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 5, 2019
- Last updated
- Jun 5, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
202 E Airport Dr Ste 150San Bernardino, CA 92408-3429
Phone 909-287-3032
Mailing address
14980 Randall AveFontana, CA 92335-4232
Phone 951-462-9868
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