Individual
CAROLINA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6874 S ULSTER CIR, CENTENNIAL, CO 80112-1364
(719) 888-9262
Mailing address
211 SANDBURG LN, COLORADO SPRINGS, CO 80916-1298
(714) 492-0220
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477925055
NOT A MEDICARE BENIFIT
CO
Enumeration date
06/01/2018
Last updated
06/01/2018
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