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Individual

CARMEN HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
926 47TH ST, D1, BROOKLYN, NY 11219-2861
(718) 864-7721
Mailing address
926 47TH ST, D1, BROOKLYN, NY 11219-2861
(718) 864-7721

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
03/27/2017
Last updated
03/27/2017
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