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Angela Cristina Hernandez-Bautista

Behavior Technician in Vineland, NJ. Individual provider (NPI-1).

NPI number1548090905
StatusActive
Last updated in NPPESAug 1, 2024

Details

NPI
1548090905
Entity type
Individual (NPI-1)
Name
Angela Cristina Hernandez-Bautista
Sex
Female
Sole proprietor
No
Enumeration date
Aug 1, 2024
Certification date
Aug 1, 2024
Last updated
Aug 1, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1103 W Sherman Ave
Vineland, NJ 08360-6912

Phone 718-215-5311 · Fax 718-865-5165

Mailing address

Po Box 360595
Pittsburgh, PA 15251-6595

Phone 718-215-5311 · Fax 718-865-5165

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