Individual
REBECCA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2929 COORS BLVD NW, ALBUQUERQUE, NM 87120-1173
(505) 788-6770
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-85005
TX
Other
Enumeration date
03/12/2021
Last updated
10/27/2025
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