Individual
DANIELA MORENO HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED,BCBA,LBA
Contact information
Practice address
1107 ALVERSER DR, MIDLOTHIAN, VA 23113-2655
(804) 897-1753
Mailing address
3233 GANNET LN, MIDLOTHIAN, VA 23112-4959
(804) 938-5447
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133002256
VA
Other
Enumeration date
01/07/2022
Last updated
01/07/2022
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