Individual
AJA BREEANNA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5252 ORANGE AVE STE 109, CYPRESS, CA 90630-2967
(657) 213-0199
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CA
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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