Individual
CHARLIE A HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4085 HANCOCK BRIDGE PKWY, NORTH FORT MYERS, FL 33903-7219
(239) 677-3767
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(866) 610-0580
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/20/2019
Last updated
07/09/2024
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