Individual
ALYSSA MARIE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
5600 CITY AVE, PHILADELPHIA, PA 19131-1308
(610) 660-2169
Mailing address
5600 CITY AVE, PHILADELPHIA, PA 19131-1308
(610) 660-2169
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-19-9821
NJ
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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