Ruthmarie Katie Hernandez
Behavior Technician in Gardena, CA. Individual provider (NPI-1).
NPI number1760178024
StatusActive
Last updated in NPPESApr 11, 2023
Details
- NPI
- 1760178024
- Entity type
- Individual (NPI-1)
- Name
- Ruthmarie Katie Hernandez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 11, 2023
- Certification date
- Apr 11, 2023
- Last updated
- Apr 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1508 W Artesia Sq Apt BGardena, CA 90248-4773
Phone 800-249-1266
Mailing address
12119 Killian StEl Monte, CA 91732-1655
Phone 626-705-1520
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