Individual
ADA MARY HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
506 BAKER DR, WEST PALM BEACH, FL 33409-3810
(561) 317-7937
Mailing address
506 BAKER DR, WEST PALM BEACH, FL 33409-3810
(561) 317-7937
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-284919
FL
Other
Enumeration date
07/17/2023
Last updated
07/27/2023
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