Individual
HITANDEWY J HERNANDEZ-HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 DEGRAW AVE, TEANECK, NJ 07666-4094
(551) 363-3303
Mailing address
299 CENTRAL AVE APT 2F, JERSEY CITY, NJ 07307-2913
(201) 917-8112
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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