Individual
ANGELICA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5959 LAKE ELLENOR DR # 100, ORLANDO, FL 32809-4633
(321) 972-4039
Mailing address
2325 LAKE DEBRA DR APT 414, ORLANDO, FL 32835-6649
(954) 551-8722
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-25-16070
FL
106S00000X
Behavior Technician
20-142770
FL
Other
Enumeration date
11/10/2020
Last updated
05/05/2025
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