Individual
MICHELLE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25322 LONE ACRES RD, MENIFEE, CA 92584-9637
(951) 230-1316
Mailing address
25322 LONE ACRES RD, MENIFEE, CA 92584-9637
(951) 230-1316
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TS0200X
School Psychologist
Primary
LEP4734
CA
251B00000X
Case Management Agency
—
—
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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