Individual
STEPHANIE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
731 MALL RING CIR, SUITE 215, HENDERSON, NV 89014-6683
(702) 547-6971
(702) 547-6948
Mailing address
731 MALL RING CIR, SUITE 215, HENDERSON, NV 89014-6683
(702) 547-6971
(702) 547-6948
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-16-26506
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-16-26506
RBT-16-26506
NV
Enumeration date
12/02/2016
Last updated
12/02/2016
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