Individual
JUDITH HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6859 E REMBRANDT AVE STE 101, MESA, AZ 85212-3629
(480) 389-4516
Mailing address
3202 E DRY CREEK RD, PHOENIX, AZ 85044-7019
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-001876
AZ
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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