Individual
JEAN CARLOS HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
160 BUENA VISTA AVE APT 1, YONKERS, NY 10701-7572
(914) 338-5536
Mailing address
160 BUENA VISTA AVE APT 1, YONKERS, NY 10701-7572
(914) 338-5536
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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