Individual
LISA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 56TH AVE STE 110, GREELEY, CO 80634-2950
(970) 778-4637
Mailing address
1901 56TH AVE STE 110, GREELEY, CO 80634-2950
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/08/2018
Last updated
09/08/2018
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