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Individual

ANDREA HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
14828 SERENITA AVE, OKLAHOMA CITY, OK 73134
(855) 782-7822
Mailing address
3225 FARMERS MARKET WAY, EDMOND, OK 73034-6159

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-36647

Other

Enumeration date
11/22/2019
Last updated
01/07/2020
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