Audrey Hernandez
Behavior Technician in San Bernardino, CA. Individual provider (NPI-1).
NPI number1831887751
StatusActive
Last updated in NPPESApr 27, 2023
Details
- NPI
- 1831887751
- Entity type
- Individual (NPI-1)
- Name
- Audrey Hernandez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 27, 2023
- Certification date
- Apr 27, 2023
- Last updated
- Apr 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
473 S Carnegie Dr Ste 200San Bernardino, CA 92408-4201
Phone 951-405-3015
Mailing address
531 N Pampas AveRialto, CA 92376-5258
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