Individual
KIMBERLY HERMOSURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 POINTE PARKWAY BLVD, YUKON, OK 73099-0600
(855) 782-7822
Mailing address
520 POINTE PARKWAY BLVD, YUKON, OK 73099-0600
(855) 782-7822
(972) 850-0265
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-24610
CA
Other
Enumeration date
08/07/2013
Last updated
08/01/2022
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