Individual
ABIGAIL HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 S HAVEN AVE STE 250, ONTARIO, CA 91761-2973
(909) 749-5204
Mailing address
1500 S HAVEN AVE STE 250, ONTARIO, CA 91761-2973
(909) 749-5204
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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