Gricelda Hernandez
Behavior Technician in San Diego, CA. Individual provider (NPI-1).
NPI number1548077142
StatusActive
Last updated in NPPESDec 17, 2024
Details
- NPI
- 1548077142
- Entity type
- Individual (NPI-1)
- Name
- Gricelda Hernandez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 17, 2024
- Certification date
- Dec 17, 2024
- Last updated
- Dec 17, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
4719 Viewridge Ave Ste 100San Diego, CA 92123-1685
Phone 866-727-8274
Mailing address
2550 N Hollywood Way Ste 301Burbank, CA 91505-5025
Phone 866-727-8274
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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