Individual
ALEJANDRA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 MUSTANG DR, GRAPEVINE, TX 76051-8640
(817) 722-6118
Mailing address
2401 MUSTANG DR, GRAPEVINE, TX 76051-8640
(817) 722-6118
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
20-112286
TX
Other
Enumeration date
04/21/2020
Last updated
04/21/2020
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