Individual
ALTAGRACIA HERNANDEZ MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1416 SIMPSON RD, KISSIMMEE, FL 34744-4600
(321) 947-8923
Mailing address
1416 SIMPSON RD, KISSIMMEE, FL 34744-4600
(321) 947-8923
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/10/2025
Last updated
12/10/2025
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