Individual
ALEXIS HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
4015 CRESCENT PARK DR, RIVERVIEW, FL 33578-3605
(813) 687-5809
Mailing address
4015 CRESCENT PARK DR, RIVERVIEW, FL 33578-3605
(813) 687-5809
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/03/2019
Last updated
09/13/2023
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