Individual
JENNIFER HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3315 WETMORE AVE, EVERETT, WA 98201-4322
(425) 903-0134
Mailing address
3315 WETMORE AVE, EVERETT, WA 98201-4322
(425) 903-0134
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110005276944
—
WA
Enumeration date
08/29/2022
Last updated
08/29/2022
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