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Individual

LISSETTE HERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1738 SAVONA POINT CIR UNIT 208, CAPE CORAL, FL 33914-3633
(786) 491-8898
Mailing address
1738 SAVONA POINT CIR UNIT 208, CAPE CORAL, FL 33914-3633
(786) 491-8898

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
24392107
FL
106S00000X
Behavior Technician
24392107
FL

Other

Enumeration date
01/30/2025
Last updated
02/13/2025
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