Individual
ANTHONY HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
208 E 19TH STREET RD, GREELEY, CO 80631-4900
(970) 509-0594
Mailing address
208 E 19TH STREET RD, GREELEY, CO 80631-4900
(970) 509-0594
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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