Individual
DAVID HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
122 1/2 E 3RD ST, EDMOND, OK 73034-3819
(405) 640-1494
Mailing address
122 1/2 E 3RD ST, EDMOND, OK 73034-3819
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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