Individual
BRENDA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
152 BRAND RD., MURPHY, TX 75094-3717
(469) 596-6710
Mailing address
2802 KINGSWOOD DR, GARLAND, TX 75040-8726
(469) 881-7737
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-101941
TX
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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