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Individual

LUIS ANGEL HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4455 N 84TH AVE, PHOENIX, AZ 85037-1831
(623) 418-9670
Mailing address
945 N. CENTRAL WOODMERE, NY 11598, WOODMERE, NY 11598
(623) 418-9670

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
AZ

Other

Enumeration date
04/03/2026
Last updated
04/03/2026
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