Individual
JAYDEL HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1445 E PUTNAM AVE, OLD GREENWICH, CT 06870-1379
(203) 622-8600
Mailing address
11 BEDFORD AVE APT L2, NORWALK, CT 06850-3841
(203) 252-9614
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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