Individual
BRISSA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 W DUNLAP AVE STE 100, PHOENIX, AZ 85021-2813
(602) 325-2485
Mailing address
21600 OXNARD ST, WOODLAND HILLS, CA 91367-4976
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
00003547
AZ
Other
Enumeration date
02/14/2018
Last updated
02/14/2018
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