Individual
BRIDGETTE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
917 SHERWOOD DR STE 201, LAKE BLUFF, IL 60044-2235
(877) 486-4140
Mailing address
3012 N MAPLE TREE LN, WADSWORTH, IL 60083-9208
(847) 406-7797
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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