Individual
CARLA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11240 S RIVER HEIGHTS DR STE 110, SOUTH JORDAN, UT 84095-5106
(801) 935-4171
(801) 935-4171
Mailing address
16255 VENTURA BLVD STE 900, ENCINO, CA 91436-2317
(801) 935-4171
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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