Individual
MR. NIKOLAS ANTHONY HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8815 S TACOMA WAY STE 122, LAKEWOOD, WA 98499-7011
(253) 682-0320
Mailing address
4007 FAWCETT AVE, TACOMA, WA 98418-6632
(253) 678-2535
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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