Individual
IVONETTE LINDY HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1945 HARRISON BLVD, OGDEN, UT 84401-0717
(801) 430-4288
(801) 430-4288
Mailing address
1945 HARRISON BLVD, OGDEN, UT 84401-0717
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
229555370
UT
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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