Individual
GISELL HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
66 MILLER DR, NORTH AURORA, IL 60542-5143
(630) 907-9165
Mailing address
811 LAFAYETTE ST, AURORA, IL 60505-5153
(224) 413-9190
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
23-260823
IL
Other
Enumeration date
12/25/2023
Last updated
12/25/2023
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