Samantha Hernandez
Behavior Analyst in Riverview, FL. Individual provider (NPI-1).
NPI number1275007635
StatusActive
Last updated in NPPESJan 27, 2023
Details
- NPI
- 1275007635
- Entity type
- Individual (NPI-1)
- Name
- Samantha Hernandez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 17, 2019
- Certification date
- Jan 27, 2023
- Last updated
- Jan 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-23-63747 | FL | Yes |
Practice location
4015 Crescent Park DrRiverview, FL 33578-3605
Phone 813-687-5809
Mailing address
4015 Crescent Park DrRiverview, FL 33578-3605
Phone 813-687-5809
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