Individual
AILEEN HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1625 W OLYMPIC BLVD STE 600, LOS ANGELES, CA 90015-3865
(323) 999-2404
Mailing address
1625 W OLYMPIC BLVD STE 600, LOS ANGELES, CA 90015-3865
(323) 999-2404
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ACSW120136
CA
1041C0700X
Clinical Social Worker
—
CA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/24/2019
Last updated
06/30/2025
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